Raymond Thomas Abrams, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS038572 Issued in PA

Practice address

21 Driftwood Way
Gibbsboro, NJ 08026-1106

Phone

(856) 725-7357

NPI assigned

Mar 8, 2011

Last updated

Mar 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1881992352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DRIFTWOOD WAY",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261108",
            "telephone_number": "856-725-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DRIFTWOOD WAY",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261106",
            "telephone_number": "856-725-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "RAYMOND",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amr Abdalla, DMD
• Jency Abraham, D.M.D.
• Susan Louise Ackley, RN, APN-C
• Adcuro Home Healthcare LLC (Adcuro Behavioral Health LLC)
• Adcuro Home Healthcare LLC (Adcuro Behavioral Health LLC)
• Advocare, LLC (Advocare Milestone Pediatrics)
• Gregory M. Alberts, PHD

• Dentist in Gibbsboro, NJ
• Providers in Gibbsboro, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.