Individual provider Active NPI

Michael Davis Abbey, APN

  • Adult Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1942743752
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00679200 Issued in NJ
Practice address
131 Main St Ste 210
Hackensack, NJ 07601-7149
Phone
(201) 210-8859
Fax
(201) 882-6327
NPI assigned
Nov 28, 2016
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00679200 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00679200 NJ Primary

Addresses

Primary practice location

131 Main St Ste 210
Hackensack, NJ 07601-7149

Mailing address

131 Main St Ste 210
Hackensack, NJ 07601-7149
Phone (201) 210-8859

Other practice location 1

301 Sicomac Ave
Wyckoff, NJ 07481-2159
Phone (201) 848-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170919000427 NJ Practitioner - Nurse Practitioner 1951675719 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Christian Health Care CenterGroup PAC ID 7618887340, 13 clinicians
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians
New Jersey Heart and Vein LLCGroup PAC ID 6406211259, 6 clinicians

Practice addresses (Care Compare)

301 Sicomac Ave
Wyckoff, NJ 07481-2159
Phone (201) 848-5200

56 Hamilton Ave
Passaic, NJ 07055-5131
Phone (201) 854-5400

855 Valley Rd
Suite 112B
Clifton, NJ 07013-2441
Phone (973) 327-5000

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
56.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Health Care Center CurrentSince Aug 25, 2023 Accepting new patients
Geriatrics and Longevity Treatment Specialist, PC CurrentSince Aug 14, 2019 Accepting new patients
Christian Health Care Center CurrentSince Aug 25, 2023 Accepting new patients
New Jersey Heart and Vein LLC CurrentSince Jul 10, 2025 Accepting new patients
Py Medical Services of NJ LLC CurrentSince Nov 1, 2025 Accepting new patients
Neighborhood Medical Associates LLC Gerontology CurrentSince Dec 10, 2025 Accepting new patients

Locations

855 Valley Rd
Ste 112B
Clifton, NJ 07013
Phone (973) 220-8011

131 Main St
Ste 210
Hackensack, NJ 07601
Phone (201) 210-8859

810 Main St
Hackensack, NJ 07601
Phone (201) 488-6728

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

56 Hamilton Ave
Passaic, NJ 07055
Phone (201) 854-5400

301 Sicomac Ave
Wyckoff, NJ 07481
Phone (201) 848-5200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1942743752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 210",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017149",
            "telephone_number": "201-210-8859",
            "fax_number": "201-882-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 210",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017149",
            "telephone_number": "201-210-8859",
            "fax_number": "201-882-6327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Sicomac Ave",
            "address_purpose": "LOCATION",
            "city": "Wyckoff",
            "state": "NJ",
            "postal_code": "074812159",
            "country_code": "US",
            "telephone_number": "201-848-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBEY",
        "first_name": "MICHAEL",
        "middle_name": "DAVIS",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00679200",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00679200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.