Abigail Lyn Ware, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00767300 Issued in NJ

Practice address

499 Beckett Rd Ste 201
Swedesboro, NJ 08085-1770

Phone

(856) 467-6400

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Seretiscare Inc.

  • Primary Care Clinic/Center
  • Logan Township, NJ
  • NPI 1487758165
  Medicare reassignment

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1831899210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BANFF DR",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 BECKETT RD STE 201",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851770",
            "telephone_number": "856-467-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "ABIGAIL",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00767300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Ida Underwood, MSW
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• Alessandra Versace, OT
• Elisa Villa, MA, BCB
• Kathryn Jill Ward, LCSW
• Jaclyn Paige Wasiluk, LPC
• Kaelin Krysteen Weaver
• Amanda Sharon Webb-Davidson, PA-C
• Wedgewood Pharmacy LLC
• Wellness 51

• Physician Assistant in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.