Julie Robin Abraham
Individual provider Active NPI Pediatrics Physician · New York, NY
NPI 1447423553 · NPPES record last updated Oct 30, 2015
Key facts
- NPI
- 1447423553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 201057 (NY)
- Practice address
- 1090 Saint Nicholas Ave
Dept. of Pediatrics
New York, NY 10032-3809 - Phone
- (212) 543-0777
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- State University of New York Downstate Medical Center, 1992
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
215 E 79TH St
New York, NY 10075-0848
Phone (914) 907-6455
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170214000657 | NY | Practitioner - Pediatric Medicine |
7113200395 | Practice locations: New York, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201057 | NY | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 201057 | NY | Yes |
Addresses
Primary practice location
1090 Saint Nicholas Ave
Dept. of Pediatrics
New York, NY 10032-3809
Mailing address
1090 Saint Nicholas Ave
Dept. of Pediatrics
New York, NY 10032-3809
Phone (212) 543-0777
Other providers in New York, NY
- Jesa Abraham
- Jessica Lynn Abraham
- Jiji Abraham
- Joseph Abraham
- Julie Abraham
- Kamilla Abraham
- Kristy Anne Abraham
- Leeja Abraham
- Leslie Abraham
- Lincy Abraham
All providers in New York, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.