Individual provider Active NPI

Abralena De Jesus Wilson, D.O

  • Trauma Surgery Physician
  • West Islip, NY
National Provider Identifier
1659406593
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
255893 Issued in NY
Practice address
500 Montauk Highway, Suite K
West Islip, NY 11795-1179
Phone
(516) 969-1023
Fax
(631) 517-1557
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 255893 NY
Surgery Physician 208600000X 255893 NY
Surgery Physician 208600000X 02006360A IN
Surgical Critical Care Physician 2086S0102X 255893 NY
Trauma Surgery Physician 2086S0127X 255893 NY Primary

Addresses

Primary practice location

500 Montauk Highway, Suite K
West Islip, NY 11795-1179

Mailing address

500 Montauk Hwy Ste K
West Islip, NY 11795-4419
Phone (516) 969-1023

Other practice location 1

2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 649-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191105002309 NY Practitioner - Critical Care (Intensivists) 7214269521 Reassigns benefits to 5 organizations
I20210315002417 GA Practitioner - Critical Care (Intensivists) 7214269521 Reassigns benefits to 1 organization
I20241120000253 NY Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7214269521 Practice locations: West Islip, NY
I20250815004293 IN Practitioner - General Surgery 7214269521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1210 Medical Arts Blvd
Suite 215
Anderson, IN 46011-3439
Phone (765) 298-4140

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue155
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255893NYMDSurgery of the Hand (Plastic Surgery) Physician
02006360AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC Surgery CurrentSince Mar 1, 2020 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Dec 1, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 1, 2025 Accepting new patients
A.D.J. Wilson LLC Trauma Surgery CurrentSince Sep 8, 2024 Accepting new patients
Phoebe Dorminy OB/GYN Associates CurrentSince Dec 1, 2020 Accepting new patients
SBH Physicians, PC CurrentSince Mar 1, 2020 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Aug 28, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 1, 2025 Accepting new patients
Harlem Medical Associates PC CurrentSince Sep 9, 2019 Accepting new patients
Long Island Surgical PLLC Surgery CurrentSince May 18, 2021 Accepting new patients
MVHS Inc CurrentSince Jul 1, 2024 Accepting new patients
Acute Care Medical Services PLLC Surgery CurrentSince Jul 1, 2022 Accepting new patients
MVHS Inc CurrentSince Jul 1, 2024 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Surgery CurrentSince Aug 28, 2025 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

5819 Reliable Pkwy
Chicago, IL 60686

1210 Medical Arts Blvd
Ste 215
Anderson, IN 46011
Phone (765) 298-4140

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

111 E 210th St
Bronx, NY 10467

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

2000 N Village Ave
Ste 211
Rockville Ctr, NY 11570
Phone (516) 764-1303

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: awilson46613@mvhealthsystem.direct-ci.com
  • Direct secure messaging: awilson1045597@nychhc.direct-ci.com
  • Direct secure messaging: awilson656909@ecommunitydirect.com

Organizations & group practices 14

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.

View all 14

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1659406593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY STE K",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954419",
            "telephone_number": "516-969-1023",
            "fax_number": "631-517-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HIGHWAY, SUITE K",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951179",
            "telephone_number": "516-969-1023",
            "fax_number": "631-517-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 JACKSON ST",
            "address_purpose": "LOCATION",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164337",
            "country_code": "US",
            "telephone_number": "765-649-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ABRALENA",
        "middle_name": "DE JESUS",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "255893",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "255893",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02006360A",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "255893",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "255893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.