NPIMap

Individual provider Active NPI

Bella Abramovich

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1023313871
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
825503 Issued in NY
Practice address
4 Park Ave
Apt 9R
New York, NY 10016-5339
Phone
(917) 817-3920
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 825503 NY Primary

Addresses

Primary practice location

4 Park Ave
Apt 9R
New York, NY 10016-5339

Mailing address

4 Park Ave
Apt 9R
New York, NY 10016-5339
Phone (917) 817-3920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
825503NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Laboratories Current Accepting new patients
Enigma Management Corp Dba Alliance Laboratory Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1023313871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK AVE",
            "address_2": "APT 9R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165339",
            "telephone_number": "917-817-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK AVE",
            "address_2": "APT 9R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165339",
            "telephone_number": "917-817-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOVICH",
        "first_name": "BELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "825503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.