Active NPI
Abraham Thengampallil, M.D.
- Psychiatry Physician
- Orangeburg, NY
National Provider Identifier
1366670192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 254194
- Practice address
- 140 Old Orangeburg Rd
Orangeburg, NY 10962 - Phone
- (845) 680-8496
- NPI assigned
- Jul 1, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 254194 | NY | Primary |
Addresses
Primary practice location
140 Old Orangeburg Rd
Orangeburg, NY 10962
Mailing address
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone (845) 680-8496
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180103002300 | NY | Order and Referring Only - Psychiatry | 7416215074 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254194 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682121600000",
"number": "1366670192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 OLD ORANGEBURG RD",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109621157",
"telephone_number": "845-680-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 OLD ORANGEBURG RD",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "10962",
"telephone_number": "845-680-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THENGAMPALLIL",
"first_name": "ABRAHAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2023-04-22",
"certification_date": "2023-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "254194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2023; 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.