MENA ABRAHIM (NPI# 1457645707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457645707 |
| Entity Type | Individual |
| Full Name | MENA ABRAHIM |
| Credential | D.O. |
| Practice Address |
245 Us Highway 22 Fl 3 Bridgewater Plaza II - Bridgewater NJ 08807-2560 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 9087221042 |
| Practice Fax Number | 9087222040 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
25MB09906000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE # | 25MB09906000 | 01 |
| Street Address |
245 US HIGHWAY 22 FL 3 BRIDGEWATER PLAZA II - |
| City | BRIDGEWATER |
| State | NJ |
| Zip Code | 08807-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441988 | Amy D. Lazar | Otolaryngology | 245 Us Highway 22 Fl 3, Bridgewater, NJ 08807-2560 | 2006-01-13 |
| 1073679916 | Adrianna Maria Hekiert | Otolaryngology | 245 Us Highway 22 Fl 3, Bridgewater, NJ 08807-2560 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| 1689215600 | An Angel At Hand Inc. | Case Manager/Care Coordinator | 1200 Us Highway 22 East Suite 2000, Bridgewater, NJ 08807 | 2019-10-01 |
| 1407407877 | Advanced Dental Care At Bridgewater LLC | Clinic/Center | 678 Us 206 Building 5 Unit 8, Bridgewater, NJ 08807 | 2019-09-26 |
| 1619525201 | Marian Basaly | Pharmacist | 353 Us-202 #206, Bridgewater Township, NJ 08807 | 2019-08-28 |
| 1316509169 | Ashtin Elizabeth Helmer | Physician Assistant | 766 Us-206, Bridgewater Township, NJ 08807 | 2019-07-02 |
| 1770142770 | Lisa Farrington-rankins | Case Manager/Care Coordinator | 1200 Us Highway 22 Ste 2000, Bridgewater, NJ 08807 | 2019-06-12 |
| 1841753506 | Nj Support Services, LLC | Community/Behavioral Health | 726 Route 202 South, Suite 320-107, Bridgewater, NJ 08807 | 2019-04-10 |
| 1518434562 | Alyssa Olsen | Occupational Therapist | 377 Union Avenue, Bridgwater, NJ 08807 | 2018-10-29 |
| 1689151136 | Ask Transportation Services LLC | Non-emergency Medical Transport (VAN) | 991 Highway 22, Suite 200, Bridgewater, NJ 08807 | 2018-07-26 |
| 1114427069 | Jamie On Optometry LLC | Optometrist | Lenscrafters At Macys, 400 Commons Way, Bridgewater, NJ 08807 | 2018-02-16 |
| Find all providers in zip 08807 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441988 | Amy D. Lazar | Otolaryngology | 245 Us Highway 22 Fl 3, Bridgewater, NJ 08807-2560 | 2006-01-13 |
| 1427376698 | Dennis Andrew Burachinsky | Otolaryngology | 245 Us Highway 22, Suite 300 - Enta, Bridgewater, NJ 08807-2560 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416387 | Jan Czerepak | Otolaryngology | 325 Molnar Dr, Elmwood Park, NJ 07407-3207 | 2014-07-30 |
| 1386968220 | Lawrence Gordon Md Pllc | Otolaryngology | 521 Route 515, Vernon, NJ 07462-3033 | 2010-03-22 |
| 1093953762 | Alan M. Tell, Md | Otolaryngology | 140 Prospect Ave., Suite 7, Hackensack, NJ 07601-2260 | 2009-02-03 |
| 1093872640 | Frank S Dimauro | Otolaryngology | 106 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2007-01-02 |
| 1770507337 | Scott L Busch | Otolaryngology | 1797 Springdale Rd, Cherry Hill, NJ 08003-2136 | 2006-07-27 |
| 1013940717 | Scott Richard Schaffer | Otolaryngology | 406 Lippincott Dr Ste F, Marlton, NJ 08053-4168 | 2006-07-08 |
| 1376586412 | David Bromberg | Otolaryngology | 292 Hurffville Grenloch Rd, Suite 100, Sewell, NJ 08080-2656 | 2006-06-14 |
| 1871551812 | Francis Michael Jampol | Otolaryngology | 900 Lanidex Plz Ste 300, Parsippany, NJ 07054-2707 | 2006-05-01 |
| 1467428623 | Alvin Daniel Dubin | Otolaryngology | 1924 Route 70 E, Cherry Hill, NJ 08003-2118 | 2006-02-27 |
| 1730177676 | Sigmund L. Sattenspiel | Otolaryngology | 1050 W Main St, Freehold, NJ 07728-2509 | 2005-10-13 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEWATER |
| Zip Code | 08807 |
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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.