Individual provider Active NPI

Raisa Abramova, FNP

  • Family Nurse Practitioner
  • Great Neck, NY
National Provider Identifier
1609273655
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336531 Issued in NY
Practice address
225 Community Dr
South Enterance
Great Neck, NY 11021-5503
Phone
(516) 466-1980
NPI assigned
Nov 19, 2014
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336531 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507001486 NY Practitioner - Nurse Practitioner 0345671376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Beacon Health Medical PCGroup PAC ID 1658804760, 36 clinicians
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
336531NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health Medical PC CurrentSince Dec 14, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 1, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 1, 2025 Accepting new patients
Rockwell Health LLC Past Accepting new patients

Locations

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD
  • Direct secure messaging: rabramova60937@northwell.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1609273655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR",
            "address_2": "SOUTH ENTERANCE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR",
            "address_2": "SOUTH ENTERANCE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215503",
            "telephone_number": "516-466-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOVA",
        "first_name": "RAISA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.