Individual provider Active NPI

Saji Abraham, M.B.B.S.

  • Cardiovascular Disease Physician
  • Bayside, NY
National Provider Identifier
1497955603
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
236583 Issued in NY
Practice address
4401 Francis Lewis Blvd
Suite L3A
Bayside, NY 11361-3028
Phone
(718) 423-3355
Fax
(718) 423-3721
NPI assigned
Jul 25, 2007
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 236583 NY Primary

Addresses

Primary practice location

4401 Francis Lewis Blvd
Suite L3A
Bayside, NY 11361-3028

Mailing address

4401 Francis Lewis Blvd
Suite L3A
Bayside, NY 11361-3028
Phone (718) 423-3355

Other identifiers 1

IdentifierTypeStateIssuer
02916136MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sabraham82987@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000593 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 9436243466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients
Cardiovascular Associates of New York, P.C. Cardiovascular Disease Past Accepting new patients
True North Medical Group PC Past Accepting new patients
True North Medical Group PC Cardiovascular Disease Past Accepting new patients
Booth Medical Associates PC Cardiovascular Disease Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

22802 Merrick Blvd
Fl 1
Laurelton, NY 11413
Phone (646) 501-4950

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sabraham82987@nyumc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1497955603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD",
            "address_2": "SUITE L3A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613028",
            "telephone_number": "718-423-3355",
            "fax_number": "718-423-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD",
            "address_2": "SUITE L3A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613028",
            "telephone_number": "718-423-3355",
            "fax_number": "718-423-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "SAJI",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "236583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02916136",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sabraham82987@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "4401 Francis Lewis Blvd",
            "address_2": "Suite L3A",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113613028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.