Abraham Abtahi Abtahian, MD
Individual provider Active NPI Internal Medicine Physician · Northfield, NJ
NPI 1972798643 · NPPES record last updated Sep 6, 2007
Key facts
- NPI
- 1972798643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA04548400 (NJ)
- Practice address
- 1001 New Road
Northfield, NJ 08225 - Phone
- (609) 407-1500
- Fax
- (609) 407-1930
- NPI assigned
- Sep 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1962
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1001 New Rd
Northfield, NJ 08225-1660
Phone (609) 407-1500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050114000662 | NJ | Practitioner - Internal Medicine |
5193774255 | Practice locations: Northfield, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04548400 | NJ | MD | Cardiovascular Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04548400 | NJ | Yes |
| Cardiovascular Disease Physician | 207RC0000X | 25MA04548400 | NJ |
Addresses
Primary practice location
1001 New Road
Northfield, NJ 08225
Mailing address
1001 New Road
Northfield, NJ 08225
Phone (609) 407-1500
Other providers in Northfield, NJ
- 1555 A New LLC
- A Place for New Beginnings, LLC
- A.C. Physical Therapy Services, Inc.
- A2K2, LLC
- Christine Marie Ablett
- Ac Physical Therapy Services Inc D/B/a Med Rehab Therapy
- Achieve Wellness and Recovery
- Act on Total Health Medical Group, LLC
- Active Health Northfield LLC
- Acton Healthcare LLC
All providers in Northfield, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.