Jacob Kuriakose Abraham, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

270360 Issued in NY

Practice address

223 N Van Dien Ave
Dept of Anesthesia
Ridgewood, NJ 07450-2726

Phone

(201) 847-9320

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Anesthesiology

Education

Albany Medical College of Union University, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Garden State Orthopaedic Associates, PAGroup PAC ID 0941257158, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score

60.05 of 100Reported as group

Quality

46.59

Improvement activities

40

Cost

64.74

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Garden State Orthopaedic Associates, P.a.

  dba Garden State Orthopaedic Assoc, PA

  • Orthopaedic Surgery Physician
  • Fair Lawn, NJ
  • NPI 1689641409
  Medicare reassignment Care Compare group
• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment NPD
• Garden State Orthopaedic Associates, P.a.

  • Orthopaedic Surgery Physician
  • Iselin, NJ
  • NPI 1720898729
  NPD
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD

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

• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1437310240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170630",
            "telephone_number": "201-847-9320",
            "fax_number": "201-847-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVE",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502726",
            "telephone_number": "201-847-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JACOB",
        "middle_name": "KURIAKOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "270360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03598083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A R Rehabilitation and Physical Therapy
• Ab Therapy, LLC
• Kariann Abbate, MD
• Barbara Abboud
• Abolghassem Sheiban, M.D., P.a.
• Katherine Acosta, LSW
• Acupuncture & Chinese Herbal Medicine, P.C.
• Adamoli & McGorty, MDS, LLC
• Laurie Addvensky, D.M.D.
• Sujnani Adkoli, MD

• Anesthesiology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.

Verify at the official NPI Registry.