TONY ABRAHAM, D.O. — NPI 1912115023 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology — Neuroradiology — Nuclear Radiology in PORT JEFFERSON STATION, NY)

CMS-1500 Box 24J / 33a • NPI

1912115023

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085N0904X (CMS 36)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology — Neuroradiology — Nuclear Radiology

Box 32 Service Location & ZIP+4

1500 ROUTE 112 BLDG 2, PORT JEFFERSON STATION, NY, 11776-8055

✓ 9-Digit EDI 837 ZIP+4 (11776-8055)

Practice Phone & Referral Fax

(631) 751-3000

Fax: (631) 509-6559

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1912115023 (TONY ABRAHAM, 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	`1912115023` (NPI-1 Individual Practitioner)
Provider / Legal Name	TONY ABRAHAM, D.O.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology — Neuroradiology — Nuclear Radiology NUCC Code: `2085N0904X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1500 ROUTE 112 BLDG 2, PORT JEFFERSON STATION, NY, 11776-8055
Practice Telephone / Fax	Tel: (631) 751-3000 \| Fax: (631) 509-6559
Administrative Mailing Address	1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY, 11776-8055
Enumeration & Last Sync	Enumerated: 2007-05-21 \| CMS Record Updated: 2020-01-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1500 ROUTE 112 BLDG 2, PORT JEFFERSON STATION, NY, 11776-8055

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Plain-English Taxonomy & CMS Crosswalk (2085N0904X)

What Does Taxonomy Code 2085N0904X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085N0904X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology — Neuroradiology — Nuclear Radiology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 36 (Physician/Nuclear Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Radiology — Neuroradiology — Nuclear Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TONY ABRAHAM, 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
`2085N0904X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology — Neuroradiology — Nuclear Radiology	State: NY \| License: `243051` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TONY ABRAHAM, D.O. (NPI #1912115023)