NPIMap

Individual provider Active NPI

Bineetha Juby Abraham, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1922499219
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP014699 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-5864
Fax
(215) 707-6867
NPI assigned
Feb 9, 2015
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP014699 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112001868 PA Practitioner - Nurse Practitioner 1658673306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians
Montgomery County Pulmonary and Sleep Consultants PCGroup PAC ID 0345226247, 31 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000

601 Dresher Rd
Suite 203
Horsham, PA 19044-2232
Phone (215) 774-8656

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services CurrentSince May 7, 2023 Accepting new patients
Temple Physician Inc. CurrentSince Oct 1, 2018 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 1, 2021 Accepting new patients
Temple Physicians Inc. CurrentSince Oct 1, 2018 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 1, 2021 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Montgomery County Pulmonary and Sleep Consultants PC CurrentSince Nov 1, 2024 Accepting new patients
Temple Physicians Inc Current Accepting new patients
Aria Health Physician Services CurrentSince May 7, 2023 Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

445 Shady Ln
#2
Huntingdon Vy, PA 19006
Phone (215) 663-9095

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

1240 S Broad St
Ste 220
Lansdale, PA 19446
Phone (215) 699-3901

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

2630 Holme Ave
Ste 104
Philadelphia, PA 19152
Phone (215) 332-9095

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

4900 Frankford Ave
Philadelphia, PA 19124
Phone (215) 612-2610

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

1000 Floral Vale Blvd
Ste 125
Yardley, PA 19067
Phone (215) 785-9500

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1922499219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-5864",
            "fax_number": "215-707-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-5864",
            "fax_number": "215-707-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "BINEETHA",
        "middle_name": "JUBY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.