Active NPI
Maxine Stephanie Abrams, LICENSED PRACTICAL N
- Licensed Practical Nurse
- New Windsor, NY
National Provider Identifier
1700046000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 0936081
- Practice address
- 192 Caesars Lane
New Windsor, NY 12553 - Phone
- (845) 565-7463
- Fax
- (845) 565-7463
- NPI assigned
- Jun 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0936081 | NY | Primary |
Addresses
Primary practice location
192 Caesars Lane
New Windsor, NY 12553
Mailing address
515 Upper Avenue
Newburgh, NY 12550
Phone (845) 787-4142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00902007 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0936081 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1700046000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 UPPER AVENUE",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-787-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 CAESARS LANE",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "12553",
"telephone_number": "845-565-7463",
"fax_number": "845-565-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "MAXINE",
"middle_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "LICENSED PRACTICAL N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "0936081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00902007",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.