TONY ABRAHAM (NPI# 1912115023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912115023 |
| Entity Type | Individual |
| Full Name | TONY ABRAHAM |
| Credential | D.O. |
| Practice Address |
1500 Route 112 Bldg 2 Port Jefferson Station NY 11776-8055 |
| Mailing Address |
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055 |
| Practice Telephone | 6317513000 |
| Practice Fax Number | 6315096559 |
| Mailing Telephone | 6317513000 |
| Mailing Fax Number | 3150965596 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
243051 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369417 | Tony Abraham | Pharmacist | 6257 104th Cir N, Brooklyn Park, MN 55443-1026 | 2020-09-08 |
| 1609432061 | Tony Thomas Abraham | Psychiatry & Neurology | 10300 Sw 216th Street, Miami, FL 33190 | 2019-05-11 |
| 1477904704 | Tony Abraham | Emergency Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2016-06-28 |
| Street Address |
1500 ROUTE 112 BLDG 2 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831732049 | North Shore Hematology/oncology Associates PC | Clinic/Center | 1500 Route 112 Bldg 2, Port Jefferson Station, NY 11776-8055 | 2019-10-21 |
| 1093974750 | Varghese Cherian | Radiology | 1500 Route 112 Bldg 2, Port Jefferson Station, NY 11776-8055 | 2008-06-06 |
| 1619148582 | Jared Michael Dunkin | Radiology | 1500 Route 112 Bldg 2, Port Jefferson Station, NY 11776-8055 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023348877 | Arcadia Imaging PC | Radiology | 3055 3rd Ave, Suite 1a, Bronx, NY 10451-4607 | 2009-12-29 |
| 1902015738 | Akbar Raza Shah | Radiology | 204b Jefferson Ave Apt 1a, Saint James, NY 11780-2951 | 2007-05-21 |
| 1114057577 | Adeline Markowitz | Radiology | 14 Glenwood Dr, Great Neck, NY 11021-1837 | 2007-03-06 |
| 1235236746 | Howard Finestone | Radiology | Maimonides Med Ctr 4802 10th Ave, Brooklyn, NY 11219 | 2006-09-19 |
| 1730297011 | Trustees of Columbia University In The City of New York | Radiology | 722 West 168th Street R1 Fl, New York, NY 10032-3733 | 2006-08-28 |
| 1215978184 | University Radiology Associates, LLP | Radiology | 224 Harrison St, Suite 601, Syracuse, NY 13202-3056 | 2006-06-09 |
| 1447297924 | Lijun Weng | Radiology | 1379 54th St Suite 3, Brooklyn, NY 11219 | 2006-06-01 |
| 1265497390 | Karen Mourtzikos | Radiology | 150 East Sunrise Highway, Lindenhurst, NY 11757 | 2006-04-20 |
| 1639143324 | Karolyn R Kerr | Radiology | 751 2nd Ave, New York, NY 10017-5906 | 2006-02-17 |
| 1003805219 | Park Avenue Medical Pllc | Radiology | 451 Park Ave S, Floor 2, New York, NY 10016-7390 | 2005-10-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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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.