David Ariel Ben-Avraham, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00584000 Issued in NJ

Practice address

137 High St FL 2a
Mount Holly, NJ 08060-1476

Phone

(609) 474-0120

Fax

(609) 474-0121

NPI assigned

Oct 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4

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

• Clare Medical of New Jersey LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Holly, NJ
  • NPI 1255718276

  Gerontology

  Medicare reassignment NPD

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1952685919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LETHBRIDGE PLZ STE 20",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302114",
            "telephone_number": "609-474-0120",
            "fax_number": "609-474-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HIGH ST FL 2A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601476",
            "telephone_number": "609-474-0120",
            "fax_number": "609-474-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-AVRAHAM",
        "first_name": "DAVID",
        "middle_name": "ARIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00584000",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00584000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2011008694",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Barszczewski, CRNA
• Angela E Bartelt, CRNA
• Nyasia Batie
• Charlotte R Beaty
• Nicholas Belevich, PA-C
• Lena Benson
• Sharon M Berman
• Deborah Jo Bianco
• Robert J Biondi, D.O.
• Alisha Bishop

• Adult Health Nurse Practitioner in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.