Active NPI
Abigail Leventer Dahan, MD
- Psychiatry Physician
- Englewood, NJ
National Provider Identifier
1679777858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA08561700
- Practice address
- 60 Grand Ave Ste 202
Englewood, NJ 07631-6583 - Phone
- (646) 450-7729
- Fax
- (888) 857-4269
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 244435 | NY | |
| Psychiatry Physician | 2084P0800X | 25MA08561700 | NJ | Primary |
Addresses
Primary practice location
60 Grand Ave Ste 202
Englewood, NJ 07631-6583
Mailing address
60 Grand Ave Ste 202
Englewood, NJ 07631-6583
Phone (646) 450-7728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 26, 2023 through Jul 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08561700 | NJ | MD | Psychiatry Physician |
Interoperability endpoints
- adahan674427@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1679777858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 GRAND AVE STE 202",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076316583",
"telephone_number": "646-450-7728",
"fax_number": "888-857-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 GRAND AVE STE 202",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076316583",
"telephone_number": "646-450-7729",
"fax_number": "888-857-4269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHAN",
"first_name": "ABIGAIL",
"middle_name": "LEVENTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "244435",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA08561700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
- D Gomez Practice LLC
- Richard A. D'Amico, M.D.
- Joseph Carlo D'Amore, D.D.S.
- Marjory D'Haiti Despinos, ADULT NURSE PRACTITI
- Lauren Christine Daddetto, APRN, AGNP-C
- Tiffany M Danan, PA-C
- Daniel Cohen, DDS, PC (Dental Care 4 Kids)
- Daniel J Herera MD LLC
- Daniel N. Goldweit, D.M.D., LLC (Englewood Dental Studio)
- Daniel Sultan Oral Surgery LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.