John Abadeer
Individual provider Active NPI Physician Assistant · Brooklyn, NY
NPI 1801434949 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1801434949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1075 E 51St St
Brooklyn, NY 11234-1620 - Phone
- (347) 543-4972
- NPI assigned
- Dec 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Josef Schenker MD PC
Rwjbh Emergency Medicine Associates, LLC
New York Society for the Relief of Ruptured and Crippled Maintaining
Practice addresses (Care Compare)
1811 Ave J
Brooklyn, NY 11230-3808
Phone (718) 534-0689
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
4426 18TH Ave
Brooklyn, NY 11204-1201
Phone (718) 635-9700
535 E 70TH St
New York, NY 10021-4823
Phone (212) 774-7598
6122 Fresh Pond Rd
Middle Village, NY 11379-1040
Phone (718) 502-3000
Hospital & facility affiliations
- Hospital for Special Surgery
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211112001444 | NY | Practitioner - Physician Assistant | 4284023284 | Reassigns benefits to 7 organizations |
| I20240417000515 | NJ | Practitioner - Physician Assistant | 4284023284 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027033 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Society for the Relief of Ruptured & Crippled Maintaining | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Rwjbh Observation Associates LLC | Physician Assistant | Current |
Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Physician Assistant | Current |
Accepting new patients |
| Rockland Medical Group, PLLC | Past |
Accepting new patients | |
| Recover Pro Medical & Wellness | Past | Accepting new patients | |
| Pharma Holding Inc | Past |
Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
13620 38th Ave
Ste 5F
Flushing, NY 11354
Phone (347) 909-7041
535 E 70th St
New York, NY 10021
1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- jabadeer1374519@nychhc.direct-ci.com
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1075 E 51St St
Brooklyn, NY 11234-1620
Mailing address
1075 E 51St St
Brooklyn, NY 11234-1620
Phone (347) 543-4972
Other providers in Brooklyn, NY
- Saja Ababneh
- Falka Ulcay Abaci
- Iliana Abad
- Edirin Abada
- Ayman Abadeer
- Ahuva Abadi
- Amy Lisa Abadi
- Danielle Abadi
- Elana Abadi
- Fortune Abadi
All providers in Brooklyn, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.