Jamellah Abraham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108993 Issued in FL

Practice address

17180 Royal Palm Blvd
Suite # 3
Weston, FL 33326-2394

Phone

(954) 482-4747

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1932570686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW 78TH AVE",
            "address_2": "APT 922",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243298",
            "telephone_number": "321-432-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17180 ROYAL PALM BLVD",
            "address_2": "SUITE # 3",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262394",
            "telephone_number": "954-482-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JAMELLAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Abellan
• Judy I. Abelow, P.A.
• Ira H Abels, M.D.
• Mario Abels, MD
• Danola Abilhomme
• Julie Abraham, OD
• Fazeer Abrahim, PHARMD
• Michelle J Abramson, CRNA
• Vanja Beatriz Abreu, PSY.D.
• Abreu's Psychological Services, LLC

• Physician Assistant in Weston, FL
• Providers in Weston, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.