Individual provider Active NPI

Teresa Abbamonte, PNP

  • Pediatric Nurse Practitioner
  • Lindenhurst, NY
National Provider Identifier
1851165062
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F383645 Issued in NY
Practice address
53 Harrington Ave
Lindenhurst, NY 11757-3323
Phone
(631) 226-2600
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F383645 NY Primary

Addresses

Primary practice location

53 Harrington Ave
Lindenhurst, NY 11757-3323

Mailing address

252 Phyllis Dr
Lindenhurst, NY 11757-5416
Phone (516) 383-3955

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
I20240919000377 NY Practitioner - Nurse Practitioner 0749721660 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F383645NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jun 14, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jun 14, 2024 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Dec 7, 2024 Accepting new patients
Prohealth Care Associates LLP Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

257 W Park Ave
Long Beach, NY 11561

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Organizations & group practices 5

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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1851165062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 PHYLLIS DR",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575416",
            "telephone_number": "516-383-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HARRINGTON AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573323",
            "telephone_number": "631-226-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAMONTE",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.