Jessica Abruzzese, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Babylon, NY
NPI 1760063002 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1760063002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 337102 (NY)
- Practice address
- 400 W Main St Ste 330
Babylon, NY 11702-3016 - Phone
- (631) 321-1239
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optum Medical Care PC
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710003850 | NY | Practitioner - Obstetrics/Gynecology | 9931614823 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337102 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current |
Accepting new patients | |
| Optum Medical Care, P.C. | Current |
Accepting new patients | |
| Mount Kisco Medical Group | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
Philadelphia, PA 19195
Interoperability endpoints
- jabruzzese230109@direct.optum.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 337102 | NY | Yes |
Addresses
Primary practice location
400 W Main St Ste 330
Babylon, NY 11702-3016
Mailing address
400 W Main St Ste 330
Babylon, NY 11702-3016
Phone (631) 321-1239
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All providers in Babylon, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.