Active NPI
Jennifer Leigh Abramson, MD
- Child & Adolescent Psychiatry Physician
- Maplewood, NJ
National Provider Identifier
1972707388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA07637000
- Practice address
- 511 Valley Street
Suite 201
Maplewood, NJ 07040 - Phone
- (973) 275-5333
- Fax
- (973) 275-9233
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA07637000 | NJ | Primary |
Addresses
Primary practice location
511 Valley Street
Suite 201
Maplewood, NJ 07040
Mailing address
10 Salter PL
Maplewood, NJ 07040-2630
Phone (974) 762-5558
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07637000 | NJ | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972707388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SALTER PL",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402630",
"telephone_number": "974-762-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 VALLEY STREET",
"address_2": "SUITE 201",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "07040",
"telephone_number": "973-275-5333",
"fax_number": "973-275-9233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MA07637000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.