MENA ABRAHIM, D.O. — NPI 1457645707 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1457645707

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207Y00000X (CMS 04)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology

Box 32 Service Location & ZIP+4

245 US HIGHWAY 22 FL 3, BRIDGEWATER PLAZA II -, BRIDGEWATER, NJ, 08807-2560

✓ 9-Digit EDI 837 ZIP+4 (08807-2560)

Practice Phone & Referral Fax

(908) 722-1042

Fax: (908) 722-2040

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457645707 (MENA ABRAHIM, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457645707` (NPI-1 Individual Practitioner)
Provider / Legal Name	MENA ABRAHIM, D.O.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology NUCC Code: `207Y00000X` (Otolaryngology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	245 US HIGHWAY 22 FL 3, BRIDGEWATER PLAZA II -, BRIDGEWATER, NJ, 08807-2560
Practice Telephone / Fax	Tel: (908) 722-1042 \| Fax: (908) 722-2040
Administrative Mailing Address	660 WHITE PLAINS RD FL 4, TARRYTOWN, NY, 10591-5139
Enumeration & Last Sync	Enumerated: 2011-06-04 \| CMS Record Updated: 2025-07-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

245 US HIGHWAY 22 FL 3, BRIDGEWATER PLAZA II -, BRIDGEWATER, NJ, 08807-2560

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Plain-English Taxonomy & CMS Crosswalk (207Y00000X)

What Does Taxonomy Code 207Y00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Y00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 04 (Physician/Otolaryngology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Otolaryngology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MENA ABRAHIM, D.O.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Y00000X` — Otolaryngology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology	State: NJ \| License: `25MB09906000` \| Primary: Yes (Primary)
`207YX0905X` — Otolaryngology, Otolaryngology/Facial Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery	State: NJ \| License: `25MB09906000` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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MENA ABRAHIM, D.O. (NPI #1457645707)