Individual provider Active NPI

Victoria Antoinette Abad Caram

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, NY
National Provider Identifier
1801428784
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
047183 Issued in NY
Practice address
4006A Warren St
Elmhurst, NY 11373-1735
Phone
(702) 335-2847
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 047183 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X PT026620 PA

Addresses

Primary practice location

4006A Warren St
Elmhurst, NY 11373-1735

Mailing address

4006A Warren St
Elmhurst, NY 11373-1735
Phone (702) 335-2847

Other practice location 1

108 Rolling Meadows Rd
Saylorsburg, PA 18353-9387
Phone (954) 871-9121

Other practice location 2

4006A Warren St
Elmhurst, NY 11373-1735
Phone (702) 335-2847

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

State licenses

LicenseStateTypeSpecialty
047183NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Roadside Physical Therapy P.C CurrentSince Aug 29, 2021 Accepting new patients

Locations

4006A Warren St
Elmhurst, NY 11373
Phone (702) 335-2847

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1801428784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006A WARREN ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731735",
            "telephone_number": "702-335-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006A WARREN ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731735",
            "telephone_number": "702-335-2847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Rolling Meadows Rd",
            "address_purpose": "LOCATION",
            "city": "Saylorsburg",
            "state": "PA",
            "postal_code": "183539387",
            "country_code": "US",
            "telephone_number": "954-871-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4006A Warren St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731735",
            "country_code": "US",
            "telephone_number": "702-335-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAM",
        "first_name": "VICTORIA ANTOINETTE",
        "middle_name": "ABAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "047183",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT026620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.