MRS. JOANN ABRAMS , NPI 1861418998 — NEW YORK (NY)

NPI 1861418998

13+ Years Experience Individual

MRS. JOANN ABRAMS

07/14/2006
PROVIDER ENUMERATION DATE
02/19/2013
LAST UPDATE DATE
1861418998
NPI NUMBER

About MRS. JOANN ABRAMS

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

MRS. JOANN ABRAMS is a provider established in NEW YORK, NY. The NPI number of MRS. JOANN ABRAMS is 1861418998 and was assigned on 07/14/2006. The practitioners primary taxonomy code is: 363LP0808X with license number: R136021 MD .

Mailing address

  • City: BROOKLYN
  • State: NY
  • Postal code: 112094204
  • Phone: 7185106200
  • Fax: 7186163209
  • Address: 8701 SHORE RD
  • Address 2: APT. 334

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1861418998
  • Phone : 2126458111
  • Fax : 2122292178
  • Postalcode : 100141200
  • Address : 320 W 13TH ST FORTH FLOOR

Provider taxonomy - Nurse Practitioner

  • Taxonomy code: 363LP0808X
  • License number: R136021
  • License state: MD

The taxonomy is not the primary taxonomy.

Healthcare provider taxonomy #2 - Clinical Nurse Specialist

  • Taxonomy code: 364SP0813X
  • License number: R136021
  • License state: MD

The taxonomy is not the primary taxonomy.

Contacts:

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  • MRS. JOANN ABRAMS
  • Address : 320 W 13TH ST FORTH FLOOR
  • Region : NEW YORK, NY
  • NPI : 1861418998
  • Phone : 2126458111
  • Fax : 2122292178
  • Postalcode : 100141200

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address320 W 13TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressFORTH FLOOR
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100141200
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2126458111
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2122292178
The fax number associated with the location address of the provider being identified.
NPI1861418998
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363LP0808X
Provider Enumeration Date07/14/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated02/19/2013
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MRS. JOANN ABRAMS
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address8701 SHORE RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressAPT. 334
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameBROOKLYN
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code112094204
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7185106200
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number7186163209
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1363LP0808X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Nurse Practitioner
Provider License Number 1R136021
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2364SP0813X
Healthcare Provider Taxonomy 2Clinical Nurse Specialist
Provider License Number 2R136021
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2MD
Healthcare Provider Primary Taxonomy Switch 2N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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