Individual provider Active NPI

Abby Lu, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1740968528
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F432359 Issued in NY
Practice address
412 Old Country Rd
Garden City, NY 11530-1715
Phone
(917) 442-7132
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 677257 NY
Critical Care Medicine Registered Nurse 163WC0200X 677257 NY
Acute Care Nurse Practitioner 363LA2100X F432359 NY Primary

Addresses

Primary practice location

412 Old Country Rd
Garden City, NY 11530-1715

Mailing address

412 Old Country Rd
Garden City, NY 11530-1715
Phone (917) 442-7132

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228003095 NY Practitioner - Nurse Practitioner 2961847058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gamss Health Urgent Medicine PCGroup PAC ID 4587199237, 10 clinicians
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

3611 14TH Ave
Suite 550
Brooklyn, NY 11218-3773
Phone (718) 819-6144

94 Bowery
New York, NY 10013-4888
Phone (646) 570-1033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
677257NYMDRegistered Nurse
F432359NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Mar 4, 2024 Accepting new patients
Gamss Health Urgent Medicine PC CurrentSince Feb 9, 2026 Accepting new patients

Locations

391 E 149th St
Ste 403
Bronx, NY 10455
Phone (718) 819-6144

3611 14th Ave
Ste 550
Brooklyn, NY 11218
Phone (718) 819-6144

14238 37th Ave
Ste 2C
Flushing, NY 11354
Phone (718) 522-1118

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

366 5th Ave
Fl 4
New York, NY 10001
Phone (718) 290-9807

Organizations & group practices 2

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1740968528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 OLD COUNTRY RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301715",
            "telephone_number": "917-442-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 OLD COUNTRY RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301715",
            "telephone_number": "917-442-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "ABBY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "677257",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "677257",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F432359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.