Individual provider Active NPI

Maye Abdella, DC

  • Chiropractor
  • Middle Island, NY
National Provider Identifier
1609340108
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013220 Issued in NY
Practice address
285 Middle Country Rd
Middle Island, NY 11953-2505
Phone
(631) 538-0115
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013220 NY Primary

Addresses

Primary practice location

285 Middle Country Rd
Middle Island, NY 11953-2505

Mailing address

1 Wyngate LN
Coram, NY 11727-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223000996 NY Practitioner - Chiropractic 7416373006

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

285 Middle Country Rd
Middle Island, NY 11953-2505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013220NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abdella Chiropractic, PC Chiropractor CurrentSince Feb 1, 2022 Accepting new patients
Dr. Zaytoun Medical Care PC CurrentSince Nov 27, 2022 Accepting new patients
Timothy D. Groth MD PC Past Accepting new patients
Borrie Psychological PC Past Accepting new patients

Locations

1787 Middle Country Rd
Centereach, NY 11720
Phone (631) 320-0447

285 Middle Country Rd
Middle Island, NY 11953
Phone (631) 538-0115

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1609340108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYNGATE LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MIDDLE COUNTRY RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532505",
            "telephone_number": "631-538-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELLA",
        "first_name": "MAYE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.