Individual provider Active NPI

Maribel Abreu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Far Rockaway, NY
National Provider Identifier
1972003275
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342539 Issued in NY
Practice address
1624 Central Ave
Far Rockaway, NY 11691-4002
Phone
(718) 868-1100
NPI assigned
Feb 14, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342539 NY Primary

Addresses

Primary practice location

1624 Central Ave
Far Rockaway, NY 11691-4002

Mailing address

85 Ralph Ave Apt 2a
Brooklyn, NY 11221-5972
Phone (917) 564-4040

Other practice location 1

55 N Main St
Freeport, NY 11520-2243
Phone (516) 377-8014

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
I20180517001207 NY Practitioner - Nurse Practitioner 2860757085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

355 W 52ND St
FL 7L
New York, NY 10019-6239
Phone (212) 598-6697

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342539NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 10, 2023 Accepting new patients
New York University CurrentSince Apr 10, 2023 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

1624 Central Ave
Far Rockaway, NY 11691
Phone (516) 741-6464

355 W 52nd St
New York, NY 10019
Phone (646) 754-2100

355 W 52nd St
Fl 7L
New York, NY 10019
Phone (212) 598-6697

Interoperability endpoints

  • Direct secure messaging: mabreu493878@nyumc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972003275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RALPH AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215972",
            "telephone_number": "917-564-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-868-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 N Main St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115202243",
            "country_code": "US",
            "telephone_number": "516-377-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABREU",
        "first_name": "MARIBEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.