Active NPI
Avram I. Avramov, M.D.
- Anesthesiology Physician
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036094013
- Practice address
- 3 Erie CT
Oak Park, IL 60302-2519 - Phone
- (708) 383-6200
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036094013 | IL | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 036094013 | IL |
Addresses
Primary practice location
3 Erie CT
Oak Park, IL 60302-2519
Mailing address
185 Penny Ave
East Dundee, IL 60118-1454
Phone (847) 836-7015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036094013 | Medicaid | IL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Coastal Surgery Center, LLC | Past | Accepting new patients | |
| Professional Anesthesia, S.C. | Anesthesiology | Past | Accepting new patients |
Locations
495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
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.
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Interventional Pain Medicine Physician
- Oak Park, IL
- NPI 1174572218
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Neptune, NJ
- NPI 1316219470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1194769216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PENNY AVE",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181454",
"telephone_number": "847-836-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ERIE CT",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "708-383-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVRAMOV",
"first_name": "AVRAM",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036094013",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036094013",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036094013",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.