Robert Alan Abdoo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

145177 Issued in NY

Practice address

3630 Hill Blvd
Ste 402
Jefferson Valley, NY 10535

Phone

(914) 245-8808

Fax

(914) 245-1014

NPI assigned

Nov 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJIHCA
• Direct secure messaging: raa9101@direct.nyp.org
• Direct secure messaging: robert.abdoo@direct.hvhc.org

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.

• Westchester Putnam Gastroenterology P.C.

  • Internal Medicine Physician
  • Carmel, NY
  • NPI 1740298405
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336215904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD",
            "address_2": "STE 402",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "10535",
            "telephone_number": "914-245-8808",
            "fax_number": "914-245-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD",
            "address_2": "STE 402",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "10535",
            "telephone_number": "914-245-8808",
            "fax_number": "914-245-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOO",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "145177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007744927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "CIM1451772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "WP449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Ann Aasheim
• Juliet E Albano
• Amna Ashfaq Podiatry DPM PC
• Apple Tree LCSW, PC.
• Nicolle C Aquije
• Amna Ashfaq

• Internal Medicine Physician in Jefferson Valley, NY
• Providers in Jefferson Valley, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.