Individual provider Active NPI

Nina Faryl Abraham, MD

  • Dermatology Physician
  • Haverford, PA
National Provider Identifier
1255593422
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD445198 Issued in PA
Practice address
569 W Lancaster Ave
Haverford, PA 19041-1416
Phone
(610) 525-5250
NPI assigned
Jun 30, 2008
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD445198 PA Primary

Addresses

Primary practice location

569 W Lancaster Ave
Haverford, PA 19041-1416

Mailing address

569 W Lancaster Ave
Haverford, PA 19041-1416
Phone (610) 525-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120515000393 PA Practitioner - Dermatology 6507029337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ringpfeil Advanced Dermatology PCGroup PAC ID 8022015486, 13 clinicians

Practice addresses (Care Compare)

569 W Lancaster Ave
Haverford, PA 19041-1416
Phone (610) 525-5250

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions276
Removal or shaving of skin growth1-10
Skin biopsy118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Dermatology, P.C. Dermatology PastSince Nov 1, 2005 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1255593422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 W LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411416",
            "telephone_number": "610-525-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 W LANCASTER AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411416",
            "telephone_number": "610-525-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "NINA",
        "middle_name": "FARYL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD445198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.