Active NPI
Vadim Abramov Medical PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1497837769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VADIM ABRAMOV MEDICAL PC
- Practice address
- 800 Cortelyou Road
Suite 1D
Brooklyn, NY 11218-5284 - Phone
- (718) 282-0900
- Fax
- (718) 282-0995
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vadim Abramov, MD
- Title
- Owner
- Phone
- (718) 282-0900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
800 Cortelyou Road
Suite 1D
Brooklyn, NY 11218-5284
Mailing address
60 Bell Point Dr.
Brooklyn, NY 11234-6328
Phone (718) 282-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071107000246 | NY | Part B Supplier - Clinic/Group Practice | 9032197728 |
Receives reassigned benefits from 5 practitioners Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1026464 | Vadim Abramov Medical PC | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Astoria, NY
- NPI 1336198886
-
- Clinical Social Worker
- White Plains, NY
- NPI 1396846846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734480000000",
"number": "1497837769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BELL POINT DR.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346328",
"telephone_number": "718-282-0900",
"fax_number": "718-282-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CORTELYOU ROAD",
"address_2": "SUITE 1D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185284",
"telephone_number": "718-282-0900",
"fax_number": "718-282-0995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VADIM ABRAMOV MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2024-12-18",
"status": "A",
"authorized_official_last_name": "ABRAMOV",
"authorized_official_first_name": "VADIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-282-0900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.