Individual provider Active NPI

Abigail K Addei, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1972842169
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342367 Issued in NY
Practice address
1543-1545 Inwood Avenue
Bronx, NY 10452-2001
Phone
(855) 681-8700
Fax
(718) 294-4765
NPI assigned
Feb 7, 2013
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342367 NY Primary
Registered Nurse 163W00000X 663234 NY

Addresses

Primary practice location

1543-1545 Inwood Avenue
Bronx, NY 10452-2001

Mailing address

1543 Inwood Ave
Bronx, NY 10452-2001
Phone (855) 681-8700

Other practice location 1

2054 Tillotson Ave
Bronx, NY 10475-1560
Phone (718) 671-2100

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
I20181031000824 NY Practitioner - Nurse Practitioner 3375896871 Reassigns benefits to 3 organizations

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
663234NYMDRegistered Nurse
342367NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Salud, Inc CurrentSince May 1, 2024 Accepting new patients
La Casa de Salud, Inc CurrentSince May 1, 2024 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Feb 6, 2023 Accepting new patients
La Casa de Salud Inc. Current Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Feb 4, 2019 Accepting new patients
Shlomit Levy PastSince Feb 6, 2023 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

324 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

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

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

Networks

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

Organizations & group practices 7

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1972842169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 INWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522001",
            "telephone_number": "855-681-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543-1545 INWOOD AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522001",
            "telephone_number": "855-681-8700",
            "fax_number": "718-294-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2054 Tillotson Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104751560",
            "country_code": "US",
            "telephone_number": "718-671-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDEI",
        "first_name": "ABIGAIL",
        "middle_name": "K",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342367",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "663234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.