Active NPI
Jerrold H. Abramson
- Psychologist
- Melville, NY
National Provider Identifier
1528017696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006531-1
- Practice address
- 60 Northgate Cir
Melville, NY 11747-3041 - Phone
- (631) 241-3848
- Fax
- (631) 479-1986
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006531-1 | NY | Primary |
Addresses
Primary practice location
60 Northgate Cir
Melville, NY 11747-3041
Mailing address
60 Northgate Cir
Melville, NY 11747-3041
Phone (631) 241-3848
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006531 | Other | NY | HIP HEALTH PLAN OF NY |
| AA46654 | Other | NY | MDNY HEALTHCARE |
| 00580850 | Medicaid | NY | |
| 039235 | Other | NY | VALUEOPTIONS |
| CS172 | Other | NY | OXFORD HEALTH PLANS |
| 0010830 | Other | NY | GHI |
| 039235 | Other | NY | VYTRA HEALTHCARE |
| 1000045953 | Other | NY | BEACON HEALTH STRATEGIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006531-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618704000000",
"number": "1528017696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 NORTHGATE CIR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473041",
"telephone_number": "631-241-3848",
"fax_number": "631-479-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 NORTHGATE CIR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473041",
"telephone_number": "631-241-3848",
"fax_number": "631-479-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "JERROLD",
"middle_name": "H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2021-04-18",
"certification_date": "2021-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006531-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP HEALTH PLAN OF NY",
"identifier": "006531",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY HEALTHCARE",
"identifier": "AA46654",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00580850",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "039235",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "CS172",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0010830",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTHCARE",
"identifier": "039235",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1000045953",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.