Individual provider Active NPI

Stephanie Abraitis, CM

  • Midwife
  • New Square, NY
National Provider Identifier
1710312152
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001595 Issued in NY
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

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
F001595NYMDMidwife
001595NYMDPhysician Assistant

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Dec 27, 2014 Accepting new patients
Refuah Health Center Inc CurrentSince Jul 19, 2020 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jul 19, 2020 Accepting new patients
Hudson Vista Medical,PC CurrentSince Nov 23, 2024 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.

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

Verify at the official NPI Registry.