JOHN ABRAHAM (NPI# 1295179943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295179943 |
| Entity Type | Individual |
| Full Name | JOHN ABRAHAM |
| Credential | M.D. |
| Practice Address |
101 Nixon Ave Staten Island Staten Island NY 10304-2233 |
| Mailing Address |
101 Nixon Ave Staten Island NY 10304-2233 |
| Practice Telephone | 7187444819 |
| Practice Fax Number | 7182737609 |
| Mailing Telephone | 7187444819 |
| Mailing Fax Number | 7182737609 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 109782 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184966269 | John V Abraham | Pharmacist | 464 Elizabeth Ave, Somerset, NJ 08873-5116 | 2013-03-26 |
| 1518201144 | John Theodore Abraham Jr. | Anesthesiology | 13851 Dall Lane, Santa Ana, CA 92705-2682 | 2012-11-20 |
| 1962634535 | John Abraham | Family Medicine | 1705 E 19th St Ste 600, Tulsa, OK 74104-5417 | 2009-08-17 |
| 1760595136 | John L Abraham | Family Medicine | 2740 N Mayfair Ave, Springfield, MO 65803-5084 | 2006-08-17 |
| 1962928234 | John Thomas Abraham | Behavior Technician | 5366 Eastern Ave Se, Grand Rapids, MI 49508-6018 | 2017-08-18 |
| 1225394786 | John Verghese Abraham | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2012-04-09 |
| 1740491299 | John Philip Abraham | Psychiatry & Neurology | 1600 W 38th St, Suite 306, Austin, TX 78731-6400 | 2007-05-25 |
| 1871578351 | John Alexander Abraham | Orthopaedic Surgery | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2005-12-07 |
| Street Address |
101 NIXON AVE STATEN ISLAND |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041776 | Tejas Bharat Patel | Dermatology | 1023 Forest Hill Rd Fl 1, Staten Island, NY 10314-6323 | 2011-06-24 |
| 1033282900 | Ellen Blank | Dermatology | 1122 Richmond Road, Staten Island, NY 10304 | 2006-11-16 |
| 1285722439 | John J Gadomski | Dermatology | 1492 Clove Rd, Staten Island, NY 10301-4314 | 2006-10-11 |
| 1619981511 | Josiane Lederman | Dermatology | 116 Lamberts Ln, Staten Island, NY 10314-7210 | 2006-07-28 |
| 1922069467 | Daniel Buchen | Dermatology | 1050 Clove Road, Staten Island, NY 10301-3627 | 2006-03-31 |
| 1295707131 | Michael Kurzman | Dermatology | 401 Bloomingdale Rd, Suite 2, Staten Island, NY 10309-2070 | 2006-02-05 |
| 1326021445 | Paul Contard | Dermatology | 1368 Clove Rd, Staten Island, NY 10301-4303 | 2005-11-22 |
| 1508847104 | Charles G Bernstein | Dermatology | 244 Buel Ave, Second Floor, Staten Island, NY 10305-1204 | 2005-11-10 |
| 1417316274 | Clark Dermatology, LLC | Dermatology | 1324 Victory Blvd, Staten Island, NY 10301-3917 | 2016-02-22 |
| 1790946655 | Carolin T Penrose | Dermatology | 1110 South Ave, Suite 400, Staten Island, NY 10314-3411 | 2008-06-23 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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| 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.