Individual provider Active NPI

Jamil H Abbasy, DMD

  • General Practice Dentistry
  • Southampton, MA
National Provider Identifier
1992988026
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21935 Issued in MA
Practice address
4 Line St
Southampton, MA 01073-9441
Phone
(413) 527-5205
Fax
(413) 527-7822
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21935 MA Primary

Addresses

Primary practice location

4 Line St
Southampton, MA 01073-9441

Mailing address

4 Line St
Southampton, MA 01073-9441
Phone (413) 527-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719000246 MA Order and Referring Only - DentistPractitioner - Dentist 4183994544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southampton Family Dentistry, PC General Practice Past Accepting new patients
Southampton Family Dentistry, LLC General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jabbasy240546@direct.bostonchildrens.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1992988026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LINE ST",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739441",
            "telephone_number": "413-527-5205",
            "fax_number": "413-527-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LINE ST",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739441",
            "telephone_number": "413-527-5205",
            "fax_number": "413-527-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASY",
        "first_name": "JAMIL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, MA

Sources for this page

Verify at the official NPI Registry.