Individual provider Active NPI

Abraham Pathak, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Purchase, NY
National Provider Identifier
1760771547
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
297553 Issued in NY
Practice address
3020 Westchester Ave Ste 306
Purchase, NY 10577-2525
Phone
(914) 500-9594
Fax
(914) 259-5276
NPI assigned
Apr 1, 2011
Last updated
Jan 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 25MA11432700 NJ
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 297553 NY Primary

Addresses

Primary practice location

3020 Westchester Ave Ste 306
Purchase, NY 10577-2525

Mailing address

3020 Westchester Ave Ste 306
Purchase, NY 10577-2525
Phone (914) 500-9594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200521000401 NY Practitioner - Plastic and Reconstructive Surgery 7810328184 Reassigns benefits to 2 organizations
I20221005000233 NJ Practitioner - Plastic and Reconstructive Surgery 7810328184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Northwestern University Feinberg Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tatiana Khrom MD PCGroup PAC ID 1557368859, 10 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (201) 585-2388

1567 Palisade Ave
FL 3
Fort Lee, NJ 07024-6923
Phone (201) 585-2388

239 Court St
Brooklyn, NY 11201-6592
Phone (718) 615-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tatiana Khrom, M.D., P.C. Single Specialty CurrentSince Aug 11, 2025 Accepting new patients
Palisade Plastic Surgery Associates PC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Abraham Pathak, MD PLLC Single Specialty CurrentSince Oct 21, 2025 Accepting new patients
Atlantic Gastroenterology, P.C. Single Specialty CurrentSince Aug 11, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1567 Palisade Ave
Fl 3
Fort Lee, NJ 07024
Phone (201) 585-2388

2797 Ocean Pkwy
Ste 3
Brooklyn, NY 11235
Phone (718) 615-4000

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

3020 Westchester Ave
Ste 306
Purchase, NY 10577
Phone (914) 500-9594

Interoperability endpoints

  • Direct secure messaging: apathak826379@ahs.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1760771547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE STE 306",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772525",
            "telephone_number": "914-500-9594",
            "fax_number": "914-259-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE STE 306",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772525",
            "telephone_number": "914-500-9594",
            "fax_number": "914-259-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "ABRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA11432700",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "297553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

Verify at the official NPI Registry.