Jonathan Jacob Abraham
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · New Orleans, LA
NPI 1013604560 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1013604560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1542 Tulane Ave
New Orleans, LA 70112-2865 - Phone
- (504) 568-4680
- Fax
- (504) 568-4466
- NPI assigned
- Apr 24, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20230703002087 | LA | Order and Referring Only - Orthopedic Surgery |
1052770468 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1542 Tulane Ave
New Orleans, LA 70112-2865
Mailing address
1542 Tulane Ave
New Orleans, LA 70112-2865
Phone (504) 568-4680
Other providers in New Orleans, LA
- Elizabeth Haas Abney
- Nasr A Aborawi
- Maeva M Abouattier
- Eric L. Abraham
- Fiyinfoluwa Oladapo Abraham
- Andrew Abreo
- Sarah Grundmeyer Abrusley
- Absolutecare of Louisiana, LLC
- Fadi Niazy Abu-Farsakh
- Tunde A Abubakar
All providers in New Orleans, LA · Student in an Organized Health Care Education/Training Program in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. 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.