Individual provider Active NPI

Leslie S Abramson, M.D.

  • Pediatric Rheumatology Physician
  • Waterbury, VT
National Provider Identifier
1437174703
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
0420006878 Issued in VT
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1255673109MedicaidVT
A92061MedicaidNY
0005598MedicaidVT
1437174703MedicaidVT

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

LicenseStateTypeSpecialty
0420006878VTMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.