Alex Abraham, DO
Individual provider Active NPI Family Medicine Physician · Amityville, NY
NPI 1194222968 · NPPES record last updated Jun 6, 2025
Key facts
- NPI
- 1194222968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 310487 (NY)
- Practice address
- 1080 Sunrise Hwy
Amityville, NY 11701-2526 - Phone
- (631) 716-9026
- NPI assigned
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sun River Health Inc.
Practice addresses (Care Compare)
1080 Sunrise Hwy
Amityville, NY 11701-2526
Phone (631) 716-9026
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211213001776 | NY | Practitioner - Family Practice | 2860731684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310487 | NY | MD | Family Medicine Physician |
Practice roles (2 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current |
Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
1080 Sunrise Hwy
Amityville, NY 11701
Phone (631) 716-9026
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- alex.abraham@hrh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 310487 | NY | Yes |
Addresses
Primary practice location
1080 Sunrise Hwy
Amityville, NY 11701-2526
Mailing address
1080 Sunrise Hwy
Amityville, NY 11701-2526
Phone (631) 716-9026
Other providers in Amityville, NY
- 200 West Optics, LLC
- Grace Enaye Abamwa
- Maria Abate-Emde
- David Neil Abramowitz
- Maryam Abubakar
- Accelerated Physical Therapy P.C.
- Achieving Outcomes ABA Solutions
- Omotunde D Aderin
All providers in Amityville, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.