Active NPI
Leslie S Abramson, M.D.
- Pediatric Rheumatology Physician
- Waterbury, VT
National Provider Identifier
1437174703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 0420006878
- Practice address
- 93 Pilgrim Park Rd Ste 6
Waterbury, VT 05676-1729 - Phone
- (802) 241-1141
- Fax
- (802) 241-2492
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Pediatric Rheumatology Physician | 2080P0216X | 0420006878 | VT | Primary |
Addresses
Primary practice location
93 Pilgrim Park Rd Ste 6
Waterbury, VT 05676-1729
Mailing address
93 Pilgrim Park Rd Ste 6
Waterbury, VT 05676-1729
Phone (802) 241-1141
Other practice location 1
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-8200
Other practice location 2
93 Pilgrim Park Rd Ste 6
Waterbury, VT 05676-1729
Phone (802) 241-1141
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255673109 | Medicaid | VT | |
| A92061 | Medicaid | NY | |
| 0005598 | Medicaid | VT | |
| 1437174703 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420006878 | VT | MD | Pediatric Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Vermont Disability Determination Services | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Waterbury, VT
- NPI 1255673109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1437174703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 PILGRIM PARK RD STE 6",
"city": "WATERBURY",
"state": "VT",
"postal_code": "056761729",
"telephone_number": "802-241-1141",
"fax_number": "802-241-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 PILGRIM PARK RD STE 6",
"city": "WATERBURY",
"state": "VT",
"postal_code": "056761729",
"telephone_number": "802-241-1141",
"fax_number": "802-241-2492"
}
],
"practiceLocations": [
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-8200",
"fax_number": "802-847-8742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "93 Pilgrim Park Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "VT",
"postal_code": "056761729",
"country_code": "US",
"telephone_number": "802-241-1141",
"fax_number": "802-241-2492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAMSON",
"first_name": "LESLIE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "VT",
"license": "0420006878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255673109",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A92061",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005598",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437174703",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.