Active NPI
Ronald D Abramson, M.D.
- Psychiatry Physician
- Wayland, MA
National Provider Identifier
1326045022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 30745
- Practice address
- 25 Main St
Suite 7
Wayland, MA 01778-5036 - Phone
- (508) 655-9127
- Fax
- (508) 655-1270
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 30745 | MA | Primary |
Addresses
Primary practice location
25 Main St
Suite 7
Wayland, MA 01778-5036
Mailing address
25 Main St
Suite 7
Wayland, MA 01778-5036
Phone (508) 655-9127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108073 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050513000385 | MA | Practitioner - Psychiatry | 9739120361 | Practice locations: Wayland, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30745 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1326045022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MAIN ST",
"address_2": "SUITE 7",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017785036",
"telephone_number": "508-655-9127",
"fax_number": "508-655-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MAIN ST",
"address_2": "SUITE 7",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017785036",
"telephone_number": "508-655-9127",
"fax_number": "508-655-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "RONALD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "30745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108073",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.