Active NPI
Abbey Fernandez, APRN
- Women's Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1679240113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F421504
- Practice address
- 740 64TH St
Brooklyn, NY 11220-4714 - Phone
- (718) 439-2000
- Fax
- (718) 439-2004
- NPI assigned
- Aug 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | PENDING | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | F421504 | NY | Primary |
Addresses
Primary practice location
740 64TH St
Brooklyn, NY 11220-4714
Mailing address
Advantagecare Physicians, PC
55 Water Street 2ND Floor Cred Dept
New York, NY 10041-0010
Phone (646) 680-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | NY | MD | Internal Medicine Physician |
| F421504 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fahimeh Sasan,D.O., P.C | Past | Accepting new patients | |
| Garden State Medical Practice, PC | Past | Accepting new patients | |
| Empire Medical Practice, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gynecology Physician
- New York, NY
- NPI 1548743511
-
dba Kindbody of CA Medical Practice
- Reproductive Endocrinology Physician
- San Francisco, CA
- NPI 1891355863
-
dba Kindbody of NJ Medical Practice
- Reproductive Endocrinology Physician
- Princeton, NJ
- NPI 1992338701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1679240113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ADVANTAGECARE PHYSICIANS, PC",
"address_2": "55 WATER STREET 2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410010",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 64TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204714",
"telephone_number": "718-439-2000",
"fax_number": "718-439-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ABBEY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "PENDING",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F421504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.