IndividualActive
Abigail Bautista
NPI 1386349082 · Internal Medicine Physician · Hackensack, NJ
Provider details
- NPI number
- 1386349082
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- P24-00104 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-4348
Approximate (ZIP-level) locationGet directions
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Registry dates
- Enumerated
- 2023-04-03
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.