Provider Demographics
NPI:1386815314
Name:JOEL ABRAMOWITZ, M.D.
Entity Type:Organization
Organization Name:JOEL ABRAMOWITZ, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-656-4104
Mailing Address - Street 1:142 PALISADE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1133
Mailing Address - Country:US
Mailing Address - Phone:201-656-4104
Mailing Address - Fax:201-656-9178
Practice Address - Street 1:142 PALISADE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1133
Practice Address - Country:US
Practice Address - Phone:201-656-4104
Practice Address - Fax:201-656-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04155500208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0738701Medicaid
NJAB511407Medicare PIN
C11134Medicare UPIN