Individual provider Active NPI

Libymon Abraham, FNP

  • Family Nurse Practitioner
  • New City, NY
National Provider Identifier
1790595676
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358143 Issued in NY
Practice address
4 Debra CT
New City, NY 10956-6532
Phone
(914) 582-3092
NPI assigned
Jan 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 358143 NY Primary
Registered Nurse 163W00000X 685966 NY

Addresses

Primary practice location

4 Debra CT
New City, NY 10956-6532

Mailing address

4 Debra CT
New City, NY 10956-6532
Phone (914) 582-3092

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
I20251230001114 NY Practitioner - Nurse Practitioner 5395175400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashraf Medical Group PLLCGroup PAC ID 1850560830, 30 clinicians

Practice addresses (Care Compare)

900 Route 376
Suite H
Wappingers Falls, NY 12590-6496
Phone (845) 204-9260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
685966NYMDRegistered Nurse
358143NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Medical Group PLLC Multi-Specialty CurrentSince Nov 12, 2025 Accepting new patients

Locations

1862 Pleasantville Rd
Briarcliff Manor, NY 10510
Phone (845) 204-9500

999 Route 6
Mahopac, NY 10541
Phone (845) 628-8700

3144 E Main St
Ste 2C
Mohegan Lake, NY 10547

696 Dutchess Tpke
Poughkeepsie, NY 12603
Phone (845) 454-8200

26 Winslow Gate Rd
Bldg C2
Poughkeepsie, NY 12601

900 Route 376
Ste H
Wappingers Fl, NY 12590
Phone (845) 204-9500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1790595676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEBRA CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566532",
            "telephone_number": "914-582-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEBRA CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566532",
            "telephone_number": "914-582-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "LIBYMON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358143",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "685966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.