Active NPI
Tishya Abraham, CRNP
- Gerontology Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP028183
- Practice address
- 3509 N Broad St
Philadelphia, PA 19140-4105 - Phone
- (215) 707-8484
- Fax
- (215) 707-5901
- NPI assigned
- Oct 3, 2023
- Last updated
- Sep 17, 2024
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP028183 | PA | Primary |
Addresses
Primary practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Mailing address
3500 N Broad St # 1a
Philadelphia, PA 19140-4106
Phone (215) 707-2433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (888) 402-0202
2250 Hickory Rd
Suite 140
Plymouth Meeting, PA 19462-1047
Phone (610) 379-2904
3370 High Point Blvd
Bethlehem, PA 18017-7805
Phone (888) 408-7008
905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP028183 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Telehealth Clinical Evals LLC | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Restore First Health Penn | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Chma of NC | Past | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657
905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300
549 Baltimore Pike
Glen Mills, PA 19342
Phone (610) 358-6005
1650 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 707-7200
1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
3500 N Broad St
#1A
Philadelphia, PA 19140
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
6445 Germantown Ave
Philadelphia, PA 19119
Phone (215) 438-5268
6950 Germantown Ave
Philadelphia, PA 19119
Phone (215) 261-7117
2250 Hickory Rd
Ste 140
Plymouth Mtng, PA 19462
Phone (610) 379-2904
146 Marple Rd
Radnor, PA 19008
Phone (215) 735-0595
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tishya.abraham.1@28696.direct.athenahealth.com
Organizations & group practices 9
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.
-
- General Practice Physician
- Plymouth Meeting, PA
- NPI 1437929304
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
-
dba Temple Faculty Physical Therapy Associates
- Physical Therapist
- Philadelphia, PA
- NPI 1154804839
-
- Clinic/Center
- Las Vegas, NV
- NPI 1346868387
-
dba Temple Faculty Multi-Specialty at NJ
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1982364469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1982484333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 N BROAD ST # 1A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404106",
"telephone_number": "215-707-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105",
"telephone_number": "215-707-8484",
"fax_number": "215-707-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "TISHYA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP028183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.