Active NPI
Heather Lynn Abebe, PA
- Physician Assistant
- Camden, NJ
National Provider Identifier
1366523391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00076700
- Practice address
- 1600 Haddon Ave
Camden, NJ 08103-3101 - Phone
- (856) 757-3831
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00076700 | NJ | Primary |
Addresses
Primary practice location
1600 Haddon Ave
Camden, NJ 08103-3101
Mailing address
1569 Arran Way
Dresher, PA 19025-1205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1050707 | Other | NCCPA |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090824000674 | PA | Practitioner - Physician Assistant | 0042364184 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.4 of 100
- Quality
- 82.63
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Abington, PA
- NPI 1659359099
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366523391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 ARRAN WAY",
"city": "DRESHER",
"state": "PA",
"postal_code": "190251205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HADDON AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033101",
"telephone_number": "856-757-3831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEBE",
"first_name": "HEATHER",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00076700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1050707",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
- A New Hope Counseling and Consultation LLC
- A Peace of Mind Medical Transportation
- Rebecca Rose Abbott, MD
- Mai Salah Abd Alqader, MD
- Wael Mohamed Abdel Kawy Abdalla, MD
- Brittani Abele, APN
- Rebecca Abeyawardene
- Alain Abi-Ghanem, M.D.
- Abigail House for Nursing and Rehabilitation LLC
- Olajide Gomes Abiola, MD
Sources for this page
- 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.
- 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.