Active NPI
Alexandr Abramov Medical PC
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1316102445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 203972
- Legal business name
- ALEXANDR ABRAMOV MEDICAL PC
- Practice address
- 8746 20TH Ave FL 3
Brooklyn, NY 11214-4802 - Phone
- (718) 234-9191
- Fax
- (718) 234-8591
- NPI assigned
- Jul 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Oleksandra Koval
- Title
- Administrative Assistant
- Phone
- (718) 234-9191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 203972 | NY | Primary |
Addresses
Primary practice location
8746 20TH Ave FL 3
Brooklyn, NY 11214-4802
Mailing address
8746 20TH Ave FL 3
Brooklyn, NY 11214-4802
Phone (718) 234-9191
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2095126 | Alexandr Abramov Medical, PC | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578441600000",
"number": "1316102445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8746 20TH AVE FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144802",
"telephone_number": "718-234-9191",
"fax_number": "718-234-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8746 20TH AVE FL 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144802",
"telephone_number": "718-234-9191",
"fax_number": "718-234-8591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDR ABRAMOV MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "KOVAL",
"authorized_official_first_name": "OLEKSANDRA",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "718-234-9191",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "203972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.