Active NPI
Hal Fredric Abrahamson, D.P.M.
- Foot Surgery Podiatrist
- Rego Park, NY
National Provider Identifier
1972505626
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N004608
- Practice address
- 9707 63Rd Rd
Rego Park, NY 11374-1641 - Phone
- (718) 896-4433
- Fax
- (718) 896-4747
- NPI assigned
- Aug 12, 2005
- Last updated
- Dec 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N004608 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | N004608 | NY | Primary |
Addresses
Primary practice location
9707 63Rd Rd
Rego Park, NY 11374-1641
Mailing address
9707 63Rd Rd
Rego Park, NY 11374-1641
Phone (718) 896-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01470575 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004608 | NY | MD | Mental Health Counselor |
| N004608 | NY | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1972505626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 63RD RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741641",
"telephone_number": "718-896-4433",
"fax_number": "718-896-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 63RD RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741641",
"telephone_number": "718-896-4433",
"fax_number": "718-896-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMSON",
"first_name": "HAL",
"middle_name": "FREDRIC",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N004608",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N004608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01470575",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.