Maryam Ooja Abubakar, MD, MPH
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Jacksonville, FL
NPI 1003290214 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1003290214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- ME156121 (FL)
- Practice address
- 655 W 8TH St
Jacksonville, FL 32209-6511 - Phone
- (904) 244-3508
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220419002673 | FL | Practitioner - Pediatric Medicine | 6103178421 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current |
Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current |
Accepting new patients |
Locations
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
Interoperability endpoints
- mabubakar584089@direct.shands.ufl.edu
- mabubakar72415@baptisthealthsystemjacksonville.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME156121 | FL | Yes |
Addresses
Primary practice location
655 W 8TH St
Jacksonville, FL 32209-6511
Mailing address
PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 244-3508
Other providers in Jacksonville, FL
- Absolute Imaging Network,LLC.
- Absolute Wellness & Physical Therapy LLC
- Amjad Abu Mallouh
- Feda Abu-Mallouh
- Thara Abu-Mallouh
- Yousif Abubakr
- Aida Abud
- Abdmoain Abudabrh
- Katrina Abueg
- Khalil Abufara
All providers in Jacksonville, FL · Neonatal-Perinatal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.