Abraham I Abittan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

187786 Issued in NY

Practice address

1122 Broadway
Woodmere, NY 11598-1242

Phone

(516) 295-3838

Fax

(516) 295-4976

NPI assigned

Jan 30, 2007

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 NY

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

Specialty

Dermatology

Education

Icahn School of Medicine at Mount Sinai, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

33.47 of 100Reported as individual

Quality

33.59

Promoting interoperability

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Dermatology, P.C.

  • Specialist
  • Woodmere, NY
  • NPI 1659417038

  NY, Specialist

  Medicare reassignment NPD Authorized official
• Ny Mobile Medical PC

  • Specialist
  • New York, NY
  • NPI 1578009270

  NY, Specialist

  Medicare reassignment NPD
• Robert L Bruckstein MD PC

  • Dermatology Physician
  • Lawrence, NY
  • NPI 1194002733
  NPD
• Ny Mobile Medical PC

  • Specialist
  • Leesburg, FL
  • NPI 1740865773
  NPD
• Lumina Dr G Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1407664469
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962548404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-295-3838",
            "fax_number": "516-295-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-295-3838",
            "fax_number": "516-295-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABITTAN",
        "first_name": "ABRAHAM",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "187786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 5D Dental PLLC
• 5Towns Medical Care PC
• Max Aaron
• Sarah Abdelrahim
• Remi Abolafia
• Dalia Abott, LMSW, RD, CDN
• Acu-Zen Inc.
• Erez Adan, LCSW
• Adaptive Support Az LLC

• All providers in Woodmere, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.