Active NPI
Abralena De Jesus Wilson, D.O
- Trauma Surgery Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 255893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
Practice addresses (Care Compare)
1210 Medical Arts Blvd
Suite 215
Anderson, IN 46011-3439
Phone (765) 298-4140
Hospital & facility affiliations
- Mt. Sinai at Home
- Catholic Home Care
- VNS of Ny Home Care Chha
- Good Samaritan Hospital Medical Center
- Mount Sinai South Nassau
- Community Hospital of Anderson and Madison County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 155 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255893 | NY | MD | Surgery of the Hand (Plastic Surgery) Physician |
| 02006360A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Surgery | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| A.D.J. Wilson LLC | Trauma Surgery | Current | Accepting new patients |
| Phoebe Dorminy OB/GYN Associates | Current | Accepting new patients | |
| SBH Physicians, PC | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Long Island Surgical PLLC | Surgery | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients | |
| Acute Care Medical Services PLLC | Surgery | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Surgery | Current | 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
- awilson46613@mvhealthsystem.direct-ci.com
- awilson1045597@nychhc.direct-ci.com
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Surgery Physician
- Rockville Centre, NY
- NPI 1205597473
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Surgery Physician
- Rockville Centre, NY
- NPI 1588039119
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1669422234
Surgery
-
- Trauma Surgery Physician
- Fort Lee, NJ
- NPI 1962237933
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Home Health Agency
- Westbury, NY
- NPI 1295483618
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
-
- Home Health Agency
- New York, NY
- NPI 1528059805
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.