Carol Jean Abesamis, N.P,
Individual provider Active NPI Family Nurse Practitioner · Newark, NJ
NPI 1609088673 · NPPES record last updated Feb 15, 2013
Key facts
- NPI
- 1609088673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NN07938900 (NJ)
- Practice address
- 150 Bergen St
Umdnj- Uh RM. M219
Newark, NJ 07103-2496 - Phone
- (973) 972-3342
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospital
Practice addresses (Care Compare)
150 Bergen St
RM M 219
Newark, NJ 07103-2496
Phone (973) 972-4112
Hospital & facility affiliations
- The University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081010000063 | NJ | Practitioner - Nurse Practitioner | 5294803748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN07938900 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital | Current |
Accepting new patients | |
| University Hospital | Current |
Accepting new patients |
Locations
150 Bergen St
Rm M219
Newark, NJ 07103
Phone (973) 972-1193
Interoperability endpoints
- https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NN07938900 | NJ | Yes |
Addresses
Primary practice location
150 Bergen St
Umdnj- Uh RM. M219
Newark, NJ 07103-2496
Mailing address
1 Gustave L Levy PL
Box 1458
New York, NY 10029-6500
Phone (212) 241-5544
Other providers in Newark, NJ
- Bruce Abdullah
- Muhammad Abdullah
- Rasool Abdullah
- Kia Abdus-Sabur
- Fariba Abedi
- Abetterme L L C
- Titilope Abimbola
- Abington Hospital Physicians, P.a.
- Olawemimo Abiona
- Alyssa Mercedes Abner
All providers in Newark, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.