Individual provider Active NPI

Vanessa Mae Abrina, M.D.

  • Internal Medicine Physician
  • Keansburg, NJ
National Provider Identifier
1649577495
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09476100 Issued in NJ
Practice address
100 Main St
Keansburg, NJ 07734-1725
Phone
(732) 787-0568
Fax
(732) 787-0270
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46041 KY
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA09476100 NJ Primary

Addresses

Primary practice location

100 Main St
Keansburg, NJ 07734-1725

Mailing address

100 Main St
Keansburg, NJ 07734-1725
Phone (732) 787-0568

Other practice location 1

200 Perrine Rd Ste 221
Old Bridge, NJ 08857-2836
Phone (732) 264-1163

Other practice location 2

702 N Beers St Ste 7
Holmdel, NJ 07733-1510
Phone (732) 264-8788

Other identifiers 1

IdentifierTypeStateIssuer
0446769MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225000567 NJ Practitioner - Internal Medicine 1456593391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
GK Health, PCGroup PAC ID 2062787807, 2 clinicians

Practice addresses (Care Compare)

100 Main St
Keansburg, NJ 07734-1725
Phone (732) 264-1163

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Two River Physician Associates CurrentSince Feb 9, 2015 Accepting new patients
GK Health, PC Internal Medicine CurrentSince Aug 12, 2017 Accepting new patients
Subacute Medical Associates Internal Medicine CurrentSince Nov 13, 2016 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

702 N Beers St
Ste 7
Holmdel, NJ 07733
Phone (732) 264-8788

100 Main St
Keansburg, NJ 07734
Phone (732) 264-1163

319 Main St
Ste B4
Keansburg, NJ 07734
Phone (732) 787-0568

200 Perrine Rd
Ste 221
Old Bridge, NJ 08857
Phone (732) 264-1163

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: abrina.vanessa.010.0300274@gkhpc.meditab.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1649577495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341725",
            "telephone_number": "732-787-0568",
            "fax_number": "732-787-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341725",
            "telephone_number": "732-787-0568",
            "fax_number": "732-787-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Perrine Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572836",
            "country_code": "US",
            "telephone_number": "732-264-1163",
            "fax_number": "732-264-3580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 N Beers St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331510",
            "country_code": "US",
            "telephone_number": "732-264-8788",
            "fax_number": "732-264-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRINA",
        "first_name": "VANESSA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "46041",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09476100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446769",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keansburg, NJ

Sources for this page

Verify at the official NPI Registry.