Organization Active NPI

Ivan P. Abrahamson & Hal F. Abrahamson, Advanced Footcare Assoc.

Doing business as Aadvanced Footcare Assoc.

  • Foot Surgery Podiatrist
  • Rego Park, NY
National Provider Identifier
1144423013
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N002007 Issued in NY
Legal business name
IVAN P. ABRAHAMSON & HAL F. ABRAHAMSON, ADVANCED FOOTCARE ASSOC.
Doing business as
Aadvanced Footcare Assoc.
Practice address
9707 63Rd Rd
Rego Park, NY 11374-1641
Phone
(718) 896-4433
Fax
(718) 896-4747
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Ivan P. Abrahamson, DPM
Title
Partner
Phone
(718) 896-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N002007 NY Primary

Addresses

Primary practice location

9707 63Rd Rd
Rego Park, NY 11374-1641

Mailing address

9707 63Rd Rd
Rego Park, NY 11374-1641
Phone (718) 896-4433

Other names 1

  • Aadvanced Footcare Assoc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1144423013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741641",
            "telephone_number": "718-896-4433",
            "fax_number": "718-896-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741641",
            "telephone_number": "718-896-4433",
            "fax_number": "718-896-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN P. ABRAHAMSON & HAL F. ABRAHAMSON, ADVANCED FOOTCARE ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-896-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N002007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aadvanced Footcare Assoc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.