Abramson Center for Jewish Life Medical Group

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ABRAMSON CENTER FOR JEWISH LIFE MEDICAL GROUP

Practice address

135 S Bryn Mawr Ave
Suite 110
Bryn Mawr, PA 19010-3106

Phone

(215) 371-3000

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

MADLYN AND LEONARD ABRAMSON CENTER FOR JEWISH LIFEAs reported in NPPES

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

Authorized official

Name

Mark Wasserman

Title

Chief Financial Officer

Phone

(215) 371-3000

Specialties & licenses 3

Addresses

Other identifiers 5

Part of

Gastroenterology Hosp H

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1871025924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HORSHAM RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541320",
            "telephone_number": "215-371-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BRYN MAWR AVE",
            "address_2": "SUITE 110",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103106",
            "telephone_number": "215-371-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAMSON CENTER FOR JEWISH LIFE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADLYN AND LEONARD ABRAMSON CENTER FOR JEWISH LIFE",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-371-3000"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007600910035",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE UNITED HEALTH",
            "identifier": "39010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007600910039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HOSPICE (CAHABA)",
            "identifier": "391700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "006341",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M. Abboud, M.D.
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• Andrew Jay Abramowitz, M.D.
• Melanie Abramowitz
• Andrew Abramson, LMT
• Stacy Abramson, CFNC
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• Geriatric Medicine (Internal Medicine) Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.