Raisa Abramova, FNP
Individual provider Active NPI Family Nurse Practitioner · Great Neck, NY
NPI 1609273655 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1609273655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 336531 (NY)
- Practice address
- 225 Community Dr
South Enterance
Great Neck, NY 11021-5503 - Phone
- (516) 466-1980
- NPI assigned
- Nov 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Beacon Health Medical PC
Parcare Community Health Network Inc
Practice addresses (Care Compare)
17 W 9TH St
Brooklyn, NY 11231-2501
Phone (718) 599-9090
445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20200507001486 | NY | Practitioner - Nurse Practitioner | 0345671376 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336531 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current |
Accepting new patients | |
| Parcare Community Health Network Inc | Current |
Accepting new patients | |
| Beacon Health Medical PC | Current |
Accepting new patients | |
| Rockwell Health LLC | Past | Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090
Interoperability endpoints
- rabramova60937@northwell.direct-ci.com
- https://fhir4.healow.com/fhir/r4/HHFGDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336531 | NY | Yes |
Addresses
Primary practice location
225 Community Dr
South Enterance
Great Neck, NY 11021-5503
Mailing address
225 Community Dr
South Enterance
Great Neck, NY 11021-5503
Other providers in Great Neck, NY
- Baruch Abittan
- Chaim Abittan
- Rebecca Michal Abittan
- Mithun Mamoottil Abraham
- Irina Abramova
- Abbas Abuwala
- Constantina Accardi
- Access Cardiac Imaging, PC
- Achieve at Home Physical and Occupational Therapy PLLC
- Achieve at Home Physical Therapy PLLC
All providers in Great Neck, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2016. 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.