Baby P Abraham, REGISTERED NURSE

Individual provider Active NPI Gerontology Registered Nurse · Paramus, NJ

NPI 1114508306 · NPPES record last updated Apr 19, 2021

Key facts

NPI
1114508306
Entity type
Individual (NPI type 1)
Primary specialty
Gerontology Registered Nurse 163WG0600X
License
26NR13611900 (NJ)
Practice address
1 Veterans Way
Paramus, NJ 07652-4100
Phone
(201) 634-8581
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26NR13611900NJMDGerontology Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 26NR13611900 NJ Yes

Addresses

Primary practice location

1 Veterans Way
Paramus, NJ 07652-4100

Mailing address

605 Monroe Ave
Township of Washington, NJ 07676-4312
Phone (201) 398-3011

Other identifiers

IdentifierTypeStateIssuer
NJX3HZN70694170OtherNJBCBS

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address baby.abraham@dmava.nj.gov

Other providers in Paramus, NJ

All providers in Paramus, NJ · Gerontology Registered Nurse in New Jersey

Sources for this page

Verify at the official NPI Registry.