Individual provider Active NPI

Biju Abraham, D.O.

  • Gastroenterology Physician
  • New Hyde Park, NY
National Provider Identifier
1104059427
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
243279 Issued in NY
Practice address
915 Hillside Ave
New Hyde Park, NY 11040-2529
Phone
(516) 437-9000
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 243279 NY Primary

Addresses

Primary practice location

915 Hillside Ave
New Hyde Park, NY 11040-2529

Mailing address

3 Lavenders CT
Manhasset, NY 11030-3923
Phone (516) 967-4745

Other practice location 1

225 Froehlich Farm Blvd
Woodbury, NY 11797-2922
Phone (516) 364-5400

Other practice location 2

225 Froehlich Farm Blvd
Woodbury, NY 11797-2922
Phone (516) 364-5400

Other identifiers 1

IdentifierTypeStateIssuer
03137588MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000453 NY Practitioner - Gastroenterology 7214083047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

101 Saint Andrews LN
Suite 1
Glen Cove, NY 11542-2254
Phone (516) 674-1812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Sep 13, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 13, 2021 Accepting new patients
Digestive Disease Care, PC Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients
Gregorio V. Reyes MD PC Past Accepting new patients
North Shore Long Island Jewish Health Care Inc Past Accepting new patients

Locations

4 Medical Plz
Glen Cove, NY 11542
Phone (516) 674-0500

101 Saint Andrews Ln
Fl 1
Glen Cove, NY 11542
Phone (516) 674-1812

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

300 Community Dr
Manhasset, NY 11030

915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000

70 W Main St
Oyster Bay, NY 11771
Phone (516) 922-1151

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

Networks

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

Interoperability endpoints

  • Direct secure messaging: bijuabraham@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104059427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAVENDERS CT",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303923",
            "telephone_number": "516-967-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402529",
            "telephone_number": "516-437-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Froehlich Farm Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972922",
            "country_code": "US",
            "telephone_number": "516-364-5400",
            "fax_number": "516-941-4881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Froehlich Farm Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972922",
            "country_code": "US",
            "telephone_number": "516-364-5400",
            "fax_number": "516-941-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "BIJU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "243279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03137588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.