Individual provider Active NPI

Abraham M Vera, NP

  • Adult Health Nurse Practitioner
  • Bayonne, NJ
National Provider Identifier
1154764603
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00430500 Issued in NJ
Practice address
326 Avenue a
2ND Floor
Bayonne, NJ 07002-1320
Phone
(201) 310-5709
Fax
(201) 471-2177
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00430500 NJ Primary

Addresses

Primary practice location

326 Avenue a
2ND Floor
Bayonne, NJ 07002-1320

Mailing address

326 Avenue a
2ND Floor
Bayonne, NJ 07002-1320
Phone (201) 310-5709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140224000874 NJ Practitioner - Nurse Practitioner 3870722895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Medical Care Group, LLCGroup PAC ID 9335378355, 2 clinicians

Practice addresses (Care Compare)

129 1St St
Elizabeth, NJ 07206-1781
Phone (908) 469-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00430500NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Group 1 LLP Adult Health CurrentSince Oct 1, 2021 Accepting new patients
Advanced Medical Care Group LLC Adult Health CurrentSince Mar 1, 2014 Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22331/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1154764603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 AVENUE A",
            "address_2": "2ND FLOOR",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021320",
            "telephone_number": "201-310-5709",
            "fax_number": "201-471-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 AVENUE A",
            "address_2": "2ND FLOOR",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021320",
            "telephone_number": "201-310-5709",
            "fax_number": "201-471-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "ABRAHAM",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00430500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.