Individual provider Active NPI

Alicia Abbate

  • Specialist
  • Holtsville, NY
National Provider Identifier
1891031571
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
678814121 Issued in NY
Practice address
150 6TH Ave
Holtsville, NY 11742-2308
Phone
(631) 793-4773
NPI assigned
Dec 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 678815121 NY
Specialist 174400000X 678814121 NY Primary

Addresses

Primary practice location

150 6TH Ave
Holtsville, NY 11742-2308

Mailing address

150 6TH Ave
Holtsville, NY 11742-2308
Phone (631) 793-4773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
678814121NYMDSpecialist
678815121NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1891031571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 6TH AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422308",
            "telephone_number": "631-793-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 6TH AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422308",
            "telephone_number": "631-793-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBATE",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "678815121",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "678814121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.