ABIGAIL MARIE BLACK MD
NPI 1487414330
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Abigail Black's NPI number?

The NPI number for Abigail Black is 1487414330. It was assigned to this individual provider in the NPPES registry on March 19, 2024. The provider is also known as Abigail Marie Williams MD.

Q: What is Abigail Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Black was last updated on June 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2024PECOS Enrolled

3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 349-5200(215) 615-3997 Get Directions Write a Review

NPPES record last updated: June 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 15, 2024, Jun 6, 2024, Apr 9, 2024 (3 updates tracked since 2024).

On this page

About Abigail Marie Black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABIGAIL MARIE BLACK MD (NPI 1487414330) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487414330

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameABIGAIL MARIE BLACKCredential: MD

Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238

Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238

Phone(215) 349-5200

Fax(215) 615-3997

Sole ProprietorNo

Enumeration DateMarch 19, 2024

Last NPPES UpdateJune 15, 20243 updates tracked since enumeration

NPPES CertifiedJune 15, 2024

✔ NPI 1487414330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 SPRUCE ST, Philadelphia, PA 19104

Open in Google Maps ↗

Other Names 1

Former Name (1)Abigail Marie Williams Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Marie Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD

Pediatrics

3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3228

JOEL M STEIN MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3005

PRISCILLA NELSON M.D.

Anesthesiology

3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DR. JASON THOMAS ACKRIVO MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 614-0871

JEAN-PHILIPPE RICHARD DMD

Student in an Organized Health Care Education/Training Program

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6176

LEAH M LOPEZ PA-C

Physician Assistant (Medical)

3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7870

JOANIE M GARRATT MD

Radiology (Diagnostic Radiology)

3400 SPRUCE ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

JENNIFER DEKERLEGAND

Physical Therapist

3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abigail Black's NPI number?

The NPI number for Abigail Black is 1487414330. It was assigned to this individual provider in the NPPES registry on March 19, 2024. The provider is also known as Abigail Marie Williams MD.

Where is Abigail Black located?

Abigail Black practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 349-5200.

What is Abigail Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Abigail Black enrolled in Medicare?

Yes. Abigail Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abigail Black was last updated on June 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.