Abigail Ettinger, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB10212600 Issued in NJ

Practice address

575 Route 28 Ste 2100
Raritan, NJ 08869-1363

Phone

(908) 725-5530

NPI assigned

Dec 3, 2013

Last updated

Jan 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abigailettinger@mai.allscriptsdirect.net

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.

• Somerset Pediatric Group, LLC

  • Pediatrics Physician
  • Raritan, NJ
  • NPI 1306922992

  Single Specialty

  NPD
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1871924670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 STE 2205",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691363",
            "telephone_number": "908-725-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 STE 2100",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691363",
            "telephone_number": "908-725-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10212600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drug Fair Group, Inc (Drug Fair #25)
• Teresa Duchesneau, LCSW
• Wendy K Dwyer
• Vincent J. Eletto, MD
• Christina Entrup, APRN
• Extended Optimum Medical Services LLC
• Kristina Woung Fallon, MA, LPC, NCC
• Robyn Ferrante, M.D.
• Rilwan Folorunso, MSN, CRNP, PMHNP-BC
• Summer R Forte, LSW

• Pediatrics Physician in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.