Individual provider Active NPI

Joana Marie Abitan

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1922537158
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342543 Issued in NY
Practice address
50 Haven Ave # B72
New York, NY 10032-2652
Phone
(707) 342-1047
NPI assigned
Jun 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 717779 NY
Family Nurse Practitioner 363LF0000X 342543 NY Primary

Addresses

Primary practice location

50 Haven Ave # B72
New York, NY 10032-2652

Mailing address

38 Fort Washington Ave Apt 47
New York, NY 10032-4777
Phone (707) 342-1047

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
I20180614001591 NY Practitioner - Nurse Practitioner 0648525600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

324 E 149TH St
Bronx, NY 10451-5602
Phone (718) 665-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
717779NYMDRegistered Nurse
342543NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Salud Inc. Current Accepting new patients
La Casa de Salud, Inc CurrentSince May 5, 2018 Accepting new patients
La Casa de Salud, Inc CurrentSince May 5, 2018 Accepting new patients

Locations

324 E 149th St
Bronx, NY 10451
Phone (718) 665-4300

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: joana.abitan.1@24989.direct.athenahealth.com

Organizations & group practices 3

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": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1922537158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 FORT WASHINGTON AVE APT 47",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324777",
            "telephone_number": "707-342-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HAVEN AVE # B72",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322652",
            "telephone_number": "707-342-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABITAN",
        "first_name": "JOANA MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717779",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.