MANOJ TIMOTHY ABRAHAM, M.D., F.A.C.S. — NPI 1679682892 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery in POUGHKEEPSIE, NY)

CMS-1500 Box 24J / 33a • NPI

1679682892

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207YS0123X (CMS 04)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery

Box 32 Service Location & ZIP+4

82 N WATER ST, POUGHKEEPSIE, NY, 12601-1721

✓ 9-Digit EDI 837 ZIP+4 (12601-1721)

Practice Phone & Referral Fax

(845) 454-8025

Fax: (845) 454-8026

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1679682892 (MANOJ TIMOTHY ABRAHAM, M.D., F.A.C.S.) 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	`1679682892` (NPI-1 Individual Practitioner)
Provider / Legal Name	MANOJ TIMOTHY ABRAHAM, M.D., F.A.C.S.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery NUCC Code: `207YS0123X` (Otolaryngology, Facial Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	82 N WATER ST, POUGHKEEPSIE, NY, 12601-1721
Practice Telephone / Fax	Tel: (845) 454-8025 \| Fax: (845) 454-8026
Administrative Mailing Address	82 N WATER ST, POUGHKEEPSIE, NY, 12601-1721
Enumeration & Last Sync	Enumerated: 2006-08-30 \| CMS Record Updated: 2013-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

82 N WATER ST, POUGHKEEPSIE, NY, 12601-1721

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Plain-English Taxonomy & CMS Crosswalk (207YS0123X)

What Does Taxonomy Code 207YS0123X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YS0123X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery"

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, Facial Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MANOJ TIMOTHY ABRAHAM, M.D., F.A.C.S.)

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
`207YS0123X` — Otolaryngology, Facial Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery	State: NY \| License: `211519` \| Primary: Yes (Primary)
`207Y00000X` — Otolaryngology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology	State: NY \| License: `211519` \| Primary: Secondary

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MANOJ TIMOTHY ABRAHAM, M.D., F.A.C.S. (NPI #1679682892)