Individual provider Active NPI

Inna Abramyuk, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1659065407
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351402 Issued in NY
Practice address
20 Jason CT
Staten Island, NY 10306-6072
Phone
(917) 478-2903
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 351402 NY Primary

Addresses

Primary practice location

20 Jason CT
Staten Island, NY 10306-6072

Mailing address

20 Jason CT
Staten Island, NY 10306-6072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203002853 NY Practitioner - Nurse Practitioner 4981139763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
351402NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Doctor Milena Kolesnikova PC CurrentSince Sep 23, 2024 Accepting new patients
DP Radiology Imaging PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

586 Midland Ave
Ste B
Staten Island, NY 10306
Phone (347) 201-5081

Organizations & group practices 2

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1659065407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JASON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 JASON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066072",
            "telephone_number": "917-478-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMYUK",
        "first_name": "INNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.