Leelamma Abraham

Individual provider Active NPI Adult Health Nurse Practitioner · Ramsey, NJ

NPI 1992039002 · NPPES record last updated Sep 22, 2009

Key facts

NPI
1992039002
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
26NJ00248200 (NJ)
Practice address
27 S Franklin Tpke
Preventive&Diagnostic Medical Suite 201
Ramsey, NJ 07446-2550
Phone
(201) 818-6800
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00248200 NJ Yes

Addresses

Primary practice location

27 S Franklin Tpke
Preventive&Diagnostic Medical Suite 201
Ramsey, NJ 07446-2550

Mailing address

377 Willard Rd
Paramus, NJ 07652-4628
Phone (201) 262-1249

Other providers in Ramsey, NJ

All providers in Ramsey, NJ · Adult Health Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.