Individual provider Active NPI

Abraham Auerbach, M.D.

  • Ophthalmology Physician
  • Saint Albans, VT
National Provider Identifier
1184983025
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
042.0016538 Issued in VT
Practice address
128 Fisher Pond Rd Ste 3
Saint Albans, VT 05478-6058
Phone
(802) 752-1921
NPI assigned
May 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D31508 MD
Ophthalmology Physician 207W00000X 042.0016538 VT Primary

Addresses

Primary practice location

128 Fisher Pond Rd Ste 3
Saint Albans, VT 05478-6058

Mailing address

7211 Park Heights Ave
Apt. 402
Baltimore, MD 21208-5403
Phone (443) 992-4138

Other practice location 1

419 W Redwood St Ste 420
Baltimore, MD 21201-7002
Phone (667) 214-1111

Other practice location 2

Jerusalem Eye Care Center
9a Diskin St. 4th floor
Jerusalem, ISRAEL 96440
IL
Phone 97225638728

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D31508MDMDOphthalmology Physician
042.0016538VTMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1184983025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 PARK HEIGHTS AVE",
            "address_2": "APT. 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085403",
            "telephone_number": "443-992-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FISHER POND RD STE 3",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786058",
            "telephone_number": "802-752-1921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W Redwood St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212017002",
            "country_code": "US",
            "telephone_number": "667-214-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Jerusalem Eye Care Center",
            "address_2": "9a Diskin St. 4th floor",
            "address_purpose": "LOCATION",
            "city": "Jerusalem",
            "state": "ISRAEL",
            "postal_code": "96440",
            "country_code": "IL",
            "telephone_number": "97225638728",
            "country_name": "Israel",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "ABRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-13",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D31508",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "042.0016538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.