Active NPI
Sydney Abajian
- Physician Assistant
- Wayne, NJ
National Provider Identifier
1386299774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 224 Hamburg Tpke
Wayne, NJ 07470-2168 - Phone
- (973) 942-6900
- NPI assigned
- Aug 3, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Medical Group PC
Practice addresses (Care Compare)
703 Main St
Paterson, NJ 07503-2621
Hospital & facility affiliations
- St Joseph'S University Medical Center Inc
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: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200125000042 | NJ | Practitioner - Physician Assistant | 0941635742 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- sabajian277799@ahs.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
224 Hamburg Tpke
Wayne, NJ 07470-2168
Mailing address
153 Young Ave
Cedar Grove, NJ 07009-1437
Phone (973) 787-7264
Other practice location 1
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2024.
{
"created_epoch": "1564790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1386299774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 YOUNG AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091437",
"telephone_number": "973-787-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702168",
"telephone_number": "973-942-6900"
}
],
"practiceLocations": [
{
"address_1": "703 Main St",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075032621",
"country_code": "US",
"telephone_number": "973-754-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABAJIAN",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-03",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.