{"npi":"1386714491","type":"NPI-1","status":"active","name":{"display":"Stacy Abrams Physicians Assistant","other":[],"first":"STACY","last":"ABRAMS","middle":"BETH","credential":"PHYSICIANS ASSISTANT"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NY","license":"007406"}]},"addresses":[{"purpose":"LOCATION","street_1":"622 W 168 STREET","city":"NEW YORK","state":"NY","postal_code":"100323784","country_code":"US","street_2":"PH 1137 COLUMBIA UNIVERSITY MED CENTER","phone":"2123052995","fax":"2123056792"},{"purpose":"MAILING","street_1":"622 W 168 STREET","city":"NEW YORK","state":"NY","postal_code":"100323784","country_code":"US","street_2":"PH 1137 ASSOCIATES IN EMERGENCY SERVICES CUMC","phone":"2123052995","fax":"2123056792"}],"license":{"state":"NY","number":"007406"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02644791","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050128000888","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"0749230530"},{"enrlmt_id":"I20130128000479","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"0749230530"},{"enrlmt_id":"I20220124002680","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"0749230530"},{"enrlmt_id":"I20220913000544","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OH","pac_id":"0749230530"},{"enrlmt_id":"I20221027001082","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MA","pac_id":"0749230530"},{"enrlmt_id":"I20240125003857","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IN","pac_id":"0749230530"},{"enrlmt_id":"I20240209003648","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"0749230530"}]},"enumeration_date":"2006-11-08","last_updated":"2008-09-16","_meta":{"source":"NPPES","snapshot_date":"2008-09-16","doc_url":"https://findmynpi.com/api"}}