Individual provider Active NPI

Elliot Steven Abramowitz, PH.D

  • Clinical Psychologist
  • Hewlett, NY
National Provider Identifier
1508989203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11268 Issued in NY
Practice address
1229 Broadway
Suite 210
Hewlett, NY 11557-2014
Phone
(516) 569-5523
Fax
(516) 569-5523
NPI assigned
Apr 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11268 NY Primary

Addresses

Primary practice location

1229 Broadway
Suite 210
Hewlett, NY 11557-2014

Mailing address

1229 Broadway
Suite 210
Hewlett, NY 11557-2014
Phone (516) 569-5523

Other identifiers 1

IdentifierTypeStateIssuer
078874OtherNYVALUE OPTIONS

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000014 NY Practitioner - Clinical Psychologist 0446434476 Practice locations: Long Beach, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 W Park Ave
Suite 308D
Long Beach, NY 11561-3301
Phone (917) 519-6205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11268NYMDClinical Psychologist
011268NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508989203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BROADWAY",
            "address_2": "SUITE 210",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572014",
            "telephone_number": "516-569-5523",
            "fax_number": "516-569-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BROADWAY",
            "address_2": "SUITE 210",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572014",
            "telephone_number": "516-569-5523",
            "fax_number": "516-569-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOWITZ",
        "first_name": "ELLIOT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "11268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "078874",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.