Organization Active NPI

Dr George Abraham PC

  • Psychiatry Physician
  • Paoli, PA
National Provider Identifier
1053418277
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD072501L Issued in PA
Legal business name
DR GEORGE ABRAHAM PC
Practice address
15 Industrial Blvd
Suite 203
Paoli, PA 19301-1608
Phone
(610) 240-0240
Fax
(610) 240-0335
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. George Abraham
Title
Director
Phone
(610) 240-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD072501L PA Primary

Addresses

Primary practice location

15 Industrial Blvd
Suite 203
Paoli, PA 19301-1608

Mailing address

460 N Apple Tree LN
Lafayette Hill, PA 19444-2602
Phone (610) 240-0240

Other identifiers 1

IdentifierTypeStateIssuer
1679552368OtherPANPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

15 Industrial Blvd
Ste 203
Paoli, PA 19301
Phone (610) 240-0240

15 Industrial Blvd
#203A
Paoli, PA 19301
Phone (610) 240-0240

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1053418277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N APPLE TREE LN",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442602",
            "telephone_number": "610-240-0240",
            "fax_number": "610-240-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 INDUSTRIAL BLVD",
            "address_2": "SUITE 203",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011608",
            "telephone_number": "610-240-0240",
            "fax_number": "610-240-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GEORGE ABRAHAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-240-0240",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD072501L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1679552368",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.