Individual provider Active NPI

Charlene Naomi Abraham, CNM

  • Midwife
  • Bronx, NY
National Provider Identifier
1811201007
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001265 Issued in NY
Practice address
1695 Eastchester Rd
Bronx, NY 10461-2374
Phone
(718) 405-8200
Fax
(718) 465-8391
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical Center 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126000342 NY Practitioner - Nurse Practitioner 3476774258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001265NYMDNutritionist

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Oct 12, 2018 Accepting new patients
Montefiore Nyack Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

258 High Ave
Nyack, NY 10960
Phone (845) 348-2550

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cabraham@montefioredirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001265 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1695 Eastchester Rd
Bronx, NY 10461-2374

Mailing address

1695 Eastchester Rd
Bronx, NY 10461-2374
Phone (718) 405-8200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2024.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1811201007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612374",
            "telephone_number": "718-405-8200",
            "fax_number": "718-465-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612374",
            "telephone_number": "718-405-8200",
            "fax_number": "718-465-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "CHARLENE",
        "middle_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.