Jamil M. Abraham MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

107354 Issued in NY

Legal business name

JAMIL M. ABRAHAM MD PC

Practice address

131-24 Rockaway Blvd
So Ozone Park, NY 11420

Phone

(718) 659-7166

Fax

(718) 529-5930

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jamil M Abraham, MD

Title

MD

Phone

(718) 659-7166

Specialties & licenses 1

Addresses

Other names 1

• PARK HEALTH CENTER Doing business as

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1487984175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131-24 ROCKAWAY BLVD",
            "city": "SO OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "718-659-7166",
            "fax_number": "718-529-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131-24 ROCKAWAY BLVD",
            "city": "SO OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "718-659-7166",
            "fax_number": "718-529-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIL M. ABRAHAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-659-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "107354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Allen Goldstein, DDS
• Jeffrey a & Mark Goldstein DDS PLLC
• George Mathew, MD
• Pain Relief Medical Therapy PC
• Queensboro Occupational Therapy P.C.

• Family Medicine Physician in So Ozone Park, NY
• Providers in So Ozone Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.