Active NPI
Arnaldo Gulben Abaya
- Physical Therapist
- New York, NY
National Provider Identifier
1609411933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041017
- 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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1497837769
NY, Physical Therapist
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 041017 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vadim Abramov Medical PC | Physical Therapist | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041017 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.