SUJA ABRAHAM (NPI# 1275911307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275911307 |
| Entity Type | Individual |
| Full Name | SUJA ABRAHAM |
| Credential | CRNP |
| Practice Address |
7101 Old York Rd Philadelphia PA 19126-2114 |
| Mailing Address |
1922 Greenspring Dr Suite 6 Timonium MD 21093-7603 |
| Practice Telephone | 2154244090 |
| Mailing Telephone | 4103082300 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP014952 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568537090 | Suja Abraham | Pediatrics | One Hospital Plaza, Stamford, CT 06904 | 2006-11-21 |
| Street Address |
7101 OLD YORK RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19126-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207141 | Cheltenham York Road Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2006-08-27 |
| 1013441906 | Chrisline Nicolas | Nurse Practitioner | 7101 Old York Rd, Philadelphia, PA 19126 | 2017-04-18 |
| 1639613136 | York Operating, LLC | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2016-12-19 |
| 1801164017 | Charron Smith-marsh | Nurse Practitioner | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2011-12-02 |
| 1588956221 | Cheltenham Nursing and Rehabilitation Center Pa Lp | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2011-05-13 |
| 1457585135 | Cheltenham York, LLC | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917975 | Mildred Kenney | Social Worker | 1333 68th St, Philadelphia, PA 19126 | 2020-06-24 |
| 1639706823 | Southern Comfort Living | In Home Supportive Care | 6641 North Broad Street, Philadelphia, PA 19126 | 2020-03-26 |
| 1043759905 | Dawneisha Spratley | Community/Behavioral Health | 6726 N 18th St, Philadelphia, PA 19126 | 2017-02-13 |
| 1942751417 | Oaklane Pharmacy 1 LLC | Pharmacy | 6724 Old York Rd., Philadelphia, PA 19126 | 2016-10-20 |
| 1649728262 | Donna Chan | Pharmacist | 6744 N. 5th Street, Philadelphia, PA 19126 | 2016-09-12 |
| 1871976381 | Dena S Harris | Counselor | 7305 N 18th St, Phila, PA 19126 | 2015-07-01 |
| 1104128677 | Mental Health Partnerships | Community Based Residential Treatment Facility, Mental Illness | 1305 Oak Lane Avenue, Philadelphia, PA 19126 | 2010-12-03 |
| 1972665826 | Alfonso Clark | Dentist | 1344 66th Ave, Phila, PA 19126 | 2006-12-15 |
| 1215326541 | Erika Childs | Counselor | 6931 N 19th St, Philadelphia, PA 19126-1506 | 2015-01-09 |
| 1255959037 | Mustafa Miles | Home Health | 1815 72nd Ave, Philadelphia, PA 19126-1512 | 2020-07-08 |
| Find all providers in zip 19126 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1235696741 | Divya Rebecca Roberts | Nurse Practitioner | 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 | 2019-02-21 |
| 1770073090 | Eboni Simmons | Nurse Practitioner | 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 | 2018-05-11 |
| 1780180620 | Natalie Clarke | Nurse Practitioner | 7727 Overbrook Ave, Philadelphia, PA 19151-2016 | 2018-03-31 |
| 1396240792 | Barbara Ann Young | Nurse Practitioner | 15054 Carter Rd, Philadelphia, PA 19116-1503 | 2018-03-27 |
| 1780182451 | Kelly Ann Joyce | Nurse Practitioner | 5225 Arendell Ave, Philadelphia, PA 19114-4229 | 2018-01-29 |
| 1699273615 | Dana Patricia Ridley | Nurse Practitioner | 2024 Emily St, Philadelphia, PA 19145-2823 | 2018-01-24 |
| 1497205157 | Sinu Satheeshbabu Nair | Nurse Practitioner | 9285 Darlington Rd, Philadelphia, PA 19115-2734 | 2016-10-06 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19126 |
Please comment or provide details below to improve the information on SUJA ABRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.