Active NPI
Abigail Faulkner Nixon, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Bronx, NY
National Provider Identifier
1891909453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 243529-1
- Practice address
- 1400 Pelham Pkwy S
Jacobi Medical Center, Dept of Pediatric Emergency Med
Bronx, NY 10461-1138 - Phone
- (718) 918-5000
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 243529-1 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Jacobi Medical Center, Dept of Pediatric Emergency Med
Bronx, NY 10461-1138
Mailing address
115 Peterborough St
Apt 37
Boston, MA 02215-4214
Phone (617) 645-6422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525002077 | MA | Order and Referring Only - Pediatric Medicine | 2466636253 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243529-1 | NY | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891909453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PETERBOROUGH ST",
"address_2": "APT 37",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154214",
"telephone_number": "617-645-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "JACOBI MEDICAL CENTER, DEPT OF PEDIATRIC EMERGENCY MED",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "ABIGAIL",
"middle_name": "FAULKNER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "243529-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.