Active NPI
Stephanie Abraitis, CM
- Midwife
- New Square, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F001595
- Practice address
- 728 N Main St
New Square, NY 10977-8916 - Phone
- (845) 354-9300
- NPI assigned
- Sep 4, 2013
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | F001595 | NY | Primary |
Addresses
Primary practice location
728 N Main St
New Square, NY 10977-8916
Mailing address
728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300
Other practice location 1
200 Garden City Plz
Garden City, NY 11530-3301
Phone (516) 663-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150327001653 | NY | Practitioner - Certified Nurse Midwife (CNM) | 6103143318 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F001595 | NY | MD | Midwife |
| 001595 | NY | MD | Physician Assistant |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Refuah Health Center Inc | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Hudson Vista Medical,PC | Current | Accepting new patients | |
| Good Samaritan Hospital of Suffern | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
19 Laurel Ave
#1
Cornwall, NY 12518
Phone (845) 534-7080
19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
NY
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1710312152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9300"
}
],
"practiceLocations": [
{
"address_1": "200 Garden City Plz",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "NY",
"postal_code": "115303301",
"country_code": "US",
"telephone_number": "516-663-6400",
"fax_number": "516-307-8840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAITIS",
"first_name": "STEPHANIE",
"credential": "CM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F001595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.