Individual provider Active NPI

Kripa Abraham

  • Physician Assistant
  • Pelham, NY
National Provider Identifier
1063184901
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
315 Seventh Ave
Pelham, NY 10803-1313
Phone
(914) 738-0688
NPI assigned
Sep 29, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

315 Seventh Ave
Pelham, NY 10803-1313

Mailing address

315 Seventh Ave
Pelham, NY 10803-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907002952 NY Practitioner - Physician Assistant 4789068966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027300NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince May 10, 2022 Accepting new patients
Montefiore Medical Center CurrentSince May 10, 2022 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1500 Blondell Ave
Bronx, NY 10461
Phone (718) 405-8410

1625 Poplar St
Bronx, NY 10461
Phone (718) 405-8440

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

1695 Eastchester Rd
#A
Bronx, NY 10461
Phone (718) 405-8454

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

2300 Westchester Ave
Bronx, NY 10462
Phone (718) 409-8000

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

2532 Grand Concourse
Bronx, NY 10458
Phone (718) 960-1500

305 E 161st St
Bronx, NY 10451
Phone (718) 410-4711

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: krabraham@montefioredirect.com

Organizations & group practices 4

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1063184901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SEVENTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SEVENTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031313",
            "telephone_number": "914-738-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "KRIPA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

Verify at the official NPI Registry.