Active NPI
Victoriya K Hageney, M.D.
- Internal Medicine Physician
- Paoli, PA
National Provider Identifier
1679576144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD417027
- Practice address
- 255 W Lancaster Ave
Paoli, PA 19301-1763 - Phone
- (717) 379-0269
- Fax
- (484) 565-1513
- NPI assigned
- May 27, 2005
- Last updated
- Aug 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD417027 | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave
Paoli, PA 19301-1763
Mailing address
100 Nicolson Dr
Downingtown, PA 19335-4130
Phone (717) 379-0269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001867438 | Medicaid | PA |
Other names 1
- Victoriya K Abramova
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1679576144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NICOLSON DR",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193354130",
"telephone_number": "717-379-0269",
"fax_number": "484-565-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011763",
"telephone_number": "717-379-0269",
"fax_number": "484-565-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGENEY",
"first_name": "VICTORIYA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD417027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001867438",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIYA",
"last_name": "ABRAMOVA",
"middle_name": "K",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.