Marjan Makatam-Abrams, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

12265 Issued in NH

Practice address

One Elliot Way
Elliot Hospital Hospitalist Program
Manchester, NH 03103

Phone

(603) 663-2271

Fax

(603) 663-2273

NPI assigned

Aug 31, 2006

Last updated

Jan 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmakatamabrams903@direct.solutionhealth.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Elliot Hospital of the City of Manchester

  • Psychiatric Hospital Unit
  • Manchester, NH
  • NPI 1992880009

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment NPD
• Elliot Hospital of the City of Manchester

  dba Elliot Pharmacy at Bedford

  • Community/Retail Pharmacy
  • Bedford, NH
  • NPI 1336638352
  NPD (past)
• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1871605022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE ELLIOT WAY",
            "address_2": "ELLIOT HOSPITAL HOSPITALIST PROGRAM",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03103",
            "telephone_number": "603-663-2271",
            "fax_number": "603-663-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ELLIOT WAY",
            "address_2": "ELLIOT HOSPITAL HOSPITALIST PROGRAM",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03103",
            "telephone_number": "603-663-2271",
            "fax_number": "603-663-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKATAM-ABRAMS",
        "first_name": "MARJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NH",
            "license": "12265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30206015",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAN",
            "identifier": "31448Y",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J. Mahoney Jr., LCMHC
• Elizabeth Ellen Mailhot, BA
• Amy Maillet
• Catharine Main, LICSW
• Kristin Anne Mainella, R.D.
• Adriana Catalin Maldonado-Brem, MD
• Luis Maldonado
• Josephine Malotane, MS
• Mackenzie Ralph Maluchnick, M.S.
• Sabbay Paring Malvesti, PHARMD

• Pediatric Adolescent Medicine Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Pediatric Adolescent Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.