Individual provider Active NPI

Angela A Plischtejew, PFMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedarhurst, NY
National Provider Identifier
1780284273
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403240-01 Issued in NY
Practice address
604 Oceanpoint Ave
Cedarhurst, NY 11516-1301
Phone
(347) 653-3067
NPI assigned
Oct 26, 2020
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403240-01 NY Primary

Addresses

Primary practice location

604 Oceanpoint Ave
Cedarhurst, NY 11516-1301

Mailing address

604 Oceanpoint Ave
Cedarhurst, NY 11516-1301
Phone (347) 653-3067

Other names 1

  • Angela Abramov Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F403240-01NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1780284273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OCEANPOINT AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161301",
            "telephone_number": "347-653-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OCEANPOINT AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161301",
            "telephone_number": "347-653-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISCHTEJEW",
        "first_name": "ANGELA",
        "middle_name": "A",
        "credential": "PFMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403240-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ABRAMOV",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.