Active NPI
Rachel Abboud, DO
- Cardiovascular Disease Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MB11829000
- Practice address
- 703 Main St
Paterson, NJ 07503 - Phone
- (973) 754-2000
- NPI assigned
- May 7, 2018
- Last updated
- Aug 14, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MB11829000 | NJ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
703 Main St
Paterson, NJ 07503
Mailing address
2005 Beatrice CT
Mahwah, NJ 07430-1390
Other practice location 1
2005 Beatrice Ct
Mahwah, NJ 07430-1390
Phone (201) 888-4137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
246 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2160
Phone (973) 942-1141
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Josephs Physicians Healthcare Group Inc | Cardiovascular Disease | Current | Accepting new patients |
Locations
1195 Clifton Ave
Clifton, NJ 07013
Phone (201) 265-5700
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
225 Minnisink Rd
Fl 3
Totowa, NJ 07512
Phone (862) 657-3150
246 Hamburg Tpke
Ste 201
Wayne, NJ 07470
246 Hamburg Tpke
Ste 202
Wayne, NJ 07470
999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Paterson, NJ
- NPI 1033410907
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chilton Medical Center
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1366931107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 BEATRICE CT",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07503",
"telephone_number": "973-754-2000"
}
],
"practiceLocations": [
{
"address_1": "2005 Beatrice Ct",
"address_purpose": "LOCATION",
"city": "Mahwah",
"state": "NJ",
"postal_code": "074301390",
"country_code": "US",
"telephone_number": "201-888-4137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBOUD",
"first_name": "RACHEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MB11829000",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.