Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abigail Bautista

Individual provider Internal Medicine Physician · NPI 1386349082

Abigail Bautista is an Internal Medicine in Hackensack, New Jersey. Qualified in 2023, 3 years ago. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023

Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-4348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P24-00104 (NJ)

Record details

NPI number1386349082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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