Abraham Alfaro, D.O., PH.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MB064099 Issued in NJ

Practice address

61 W. Jimmie Leeds Road
Pomona, NJ 08240-0723

Phone

(609) 748-5380

Fax

(609) 652-8749

NPI assigned

Nov 13, 2006

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

University of New England, College of Osteo Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanticare Health Services, Inc.Group PAC ID 7911810916, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlanticare Health Services, Inc.

  • Clinic/Center
  • Atlantic City, NJ
  • NPI 1215987771
  Medicare reassignment Care Compare group NPD
• Atlanticare Health Services Inc.

  dba AtlantiCare Mission Health Care Galloway

  • Federally Qualified Health Center (FQHC)
  • Galloway, NJ
  • NPI 1043700495
  NPD
• Atlanticare Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Egg Harbor Township, NJ
  • NPI 1407617947
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1962573923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66",
            "address_2": "3RD FLOOR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-807-0880",
            "fax_number": "732-791-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W. JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400723",
            "telephone_number": "609-748-5380",
            "fax_number": "609-652-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.O., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MB064099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7049609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Abrams, MD, MBA
• Angela Ailes, CRNA
• Cynthia Zabrosky Aker, RPH
• Latha Alaparthi, MD
• Robert S Altin
• Craig J. Anmuth, D.O.
• Burak M Arkonac, MD
• Benedict E Asiegbu, MD
• Atlantic Emergency Associates, PA - Mainland Location

• Physical Medicine & Rehabilitation Physician in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
• 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.