DR. MANOJ TIMOTHY ABRAHAM (NPI# 1679682892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679682892 |
| Entity Type | Individual |
| Full Name | DR. MANOJ TIMOTHY ABRAHAM |
| Credential | M.D., F.A.C.S. |
| Practice Address |
82 N Water St Poughkeepsie NY 12601-1721 |
| Practice Telephone | 8454548025 |
| Practice Fax Number | 8454548026 |
| Mailing Telephone | 8454548025 |
| Mailing Fax Number | 8454548026 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 211519 | NY | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
211519 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02405489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952500159 | Manoj Abraham | Optometrist | 1251 E Southlake Blvd, Suite 331, Southlake, TX 76092-6478 | 2007-07-17 |
| 1457841223 | Manoj Abraham | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave # 14000, Oklahoma City, OK 73104-4637 | 2018-05-16 |
| Street Address |
82 N WATER ST |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568788990 | Physician Office Based Surgery | Clinic/Center | 82 N Water St, Poughkeepsie, NY 12601-1721 | 2010-04-09 |
| 1730218074 | Facial Plastic, Reconstructive & Laser Surgery, Pllc | Otolaryngology | 82 N Water St, Poughkeepsie, NY 12601-1721 | 2007-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427311430 | Gary Linkov | Otolaryngology | 635 Madison Ave # 1402e, New York, NY 10022-1009 | 2012-06-25 |
| 1205196961 | Daniela Maria Burchhardt | Otolaryngology | 89-06 Van Wyck Expy Suite 2t, Jamaica, NY 11418 | 2012-05-29 |
| 1710276753 | Moustafa W. Mourad | Otolaryngology | 115 E 61st St Ste 7c, New York, NY 10065 | 2011-03-30 |
| 1144528050 | Jerrold Conrad Gendler | Otolaryngology | 560 Norhern Blvd, 190, Great Neck, NY 11021 | 2011-03-02 |
| 1447485529 | Paul D. Gittelman,m.d. F.a.c.s. P.l.l.c. | Otolaryngology | 1600 Harrison Ave Ste G-104, Mamaroneck, NY 10543 | 2009-05-19 |
| 1083850044 | Richard W Westreich Md Pllc | Otolaryngology | 4 E 88th St Ste 1b, New York, NY 10128 | 2008-12-22 |
| 1780845545 | Lesley Rabach | Otolaryngology | 33 5th Ave Apt 1b, Lm Medical Nyc, New York, NY 10003-4377 | 2008-06-24 |
| 1033377213 | Joseph J Rousso | Otolaryngology | 440 Northern Blvd, Great Neck, NY 11021-4813 | 2008-05-24 |
| 1528243680 | Stuart Arnold | Otolaryngology | 194 Heron Ln, Manhasset, NY 11030-4012 | 2008-01-08 |
| 1225173370 | Shari Diane Reitzen-bastidas | Otolaryngology | 121 Dekalb Ave # 9e, Brooklyn, NY 11201-5425 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
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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.