Alexandr L Abramov, MD
Individual provider Active NPI Pediatrics Physician · Brooklyn, NY
NPI 1033211461 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1033211461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 203972 (NY)
- Practice address
- 8746 20TH Ave FL 3
Brooklyn, NY 11214 - Phone
- (718) 234-9191
- Fax
- (718) 234-8591
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203972 | NY | MD | Pediatrics Physician |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandr Abramov Medical PC | Pediatrics | Current |
Accepting new patients |
| Brookdale Hospital Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 203972 | NY | Yes |
Addresses
Primary practice location
8746 20TH Ave FL 3
Brooklyn, NY 11214
Mailing address
8746 20TH Ave FL 3
Brooklyn, NY 11214-4802
Phone (718) 234-9191
Other practice location 1
8200 Bay Pkwy
Brooklyn, NY 11214-2662
Phone (718) 234-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01729886 | Medicaid | NY |
Other providers in Brooklyn, NY
- Alena Abramava
- Isaac Abramchayev
- Lois Helene Abramchik
- Abramov NP in Family Health, P.C.
- Alexander A Abramov
- Alvina Abramov
- Anastasiya Abramov
- David Abramov
- Dennis Abramov
- Gloria Abramov
All providers in Brooklyn, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.