Individual provider Active NPI

Rachel Abboud, DO

  • Cardiovascular Disease Physician
  • Paterson, NJ
National Provider Identifier
1366931107
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB11829000 Issued in NJ
Practice address
703 Main St
Paterson, NJ 07503
Phone
(973) 754-2000
NPI assigned
May 7, 2018
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000101 NJ Practitioner - Cardiovascular Disease (Cardiology) 1456884253 Reassigns benefits to 1 organization

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
St Josephs Physicians Healthcare Group IncGroup PAC ID 2567645401, 25 clinicians

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

ProcedureNumber of procedures
Varicose vein removal38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St. Josephs Physicians Healthcare Group Inc Cardiovascular Disease CurrentSince Sep 3, 2024 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.