Individual provider Active NPI

Alfred Abu, CRNP

  • Family Nurse Practitioner
  • Yeadon, PA
National Provider Identifier
1659812592
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017020 Issued in PA
Practice address
832 Arbor Rd
Yeadon, PA 19050-3602
Phone
(610) 304-2550
Fax
(610) 259-2932
NPI assigned
Mar 11, 2017
Last updated
Nov 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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 SP017020 PA Primary

Addresses

Primary practice location

832 Arbor Rd
Yeadon, PA 19050-3602

Mailing address

1 W Elm St
Ste 100
Conshohocken, PA 19428-4108
Phone (610) 567-5408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205002963 PA Practitioner - Nurse Practitioner 0840534665 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017020PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A & G Home Care LLC Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 23, 2023 Accepting new patients
A & G Home Care LLC Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 23, 2023 Accepting new patients
Main Line Healthcare CurrentSince Dec 18, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Nazareth Physician Services, Inc Past Accepting new patients

Locations

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Interoperability endpoints

  • Direct secure messaging: aabu2109230@direct.trinity-health.org

Organizations & group practices 7

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": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1659812592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-5408",
            "fax_number": "610-567-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 ARBOR RD",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503602",
            "telephone_number": "610-304-2550",
            "fax_number": "610-259-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU",
        "first_name": "ALFRED",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-11",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yeadon, PA

Sources for this page

Verify at the official NPI Registry.