Active NPI
Bdair M Abulaimoun III, M.D.
- Neonatal-Perinatal Medicine Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MA08253400
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (856) 342-2600
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 204007 | NY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA08253400 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3164454 | Medicaid | MA | |
| J18033 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080628000034 | NY | Practitioner - Pediatric Medicine | 4284736927 | Reassigns benefits to 4 organizations |
| I20240831000561 | NJ | Practitioner - Pediatric Medicine | 4284736927 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08253400 | NJ | MD | Neonatal-Perinatal Medicine Physician |
Practice roles (12 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Cooper Pediatric Specialists, PC | Pediatrics | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Past | Accepting new patients | |
| Mercy Inpatient Medical Associates Inc. | Pediatrics | Past | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Plandome, NY 11030
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- babulaimoun21941@mvhealthsystem.direct-ci.com
- babulaimoun181935@direct.cooperhealth.edu
- babulaimoun1359120@ahs.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
NY
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
NY
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1194741181
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
Pediatrics
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1801857172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1790717239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935",
"fax_number": "732-790-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABULAIMOUN",
"first_name": "BDAIR",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "204007",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA08253400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3164454",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J18033",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.