Individual provider Active NPI

Arnaldo Gulben Abaya

  • Physical Therapist
  • New York, NY
National Provider Identifier
1609411933
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041017 Issued in NY
Practice address
40 Broad St RM 601
New York, NY 10004-2711
Phone
(201) 920-7601
NPI assigned
Nov 11, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vadim Abramov Medical PC 2 clinicians

Practice addresses (Care Compare)

800 Cortelyou Rd
Apt 1D
Brooklyn, NY 11218-5284
Phone (718) 282-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425000970 NY Practitioner - Physical Therapist in Private Practice 1254796360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041017NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vadim Abramov Medical PC Physical Therapist CurrentSince Oct 24, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041017 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

40 Broad St RM 601
New York, NY 10004-2711

Mailing address

11 Marcy Ave Apt 1
Jersey City, NJ 07304-1213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2019.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1609411933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARCY AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BROAD ST RM 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042711",
            "telephone_number": "201-920-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAYA",
        "first_name": "ARNALDO",
        "middle_name": "GULBEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.