Provider Demographics
NPI:1770754632
Name:ABRAHAM, JAMES V (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:V
Last Name:ABRAHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:124 GREGORY AVE
Mailing Address - Street 2:UNIT 301
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4856
Mailing Address - Country:US
Mailing Address - Phone:973-777-8121
Mailing Address - Fax:973-777-3622
Practice Address - Street 1:124 GREGORY AVE
Practice Address - Street 2:UNIT 301
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4856
Practice Address - Country:US
Practice Address - Phone:973-777-8121
Practice Address - Fax:973-777-3622
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05604700207R00000X, 207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000347102OtherAMERICHOICE-CRITICAL CARE
NJ223820801OtherHORIZON BCBS OF NJ
NJ7489901Medicaid
NJP2023783OtherOXFORD
NJ1948961OtherUNITED HEALTH CARE
NJ23J392OtherEMPIRE BCBS
NJ97794OtherAMERIGROUP
NJ4123649BOtherCIGNA
NJ01000347100OtherAMERICHOICE-INT. MED.
NJ2596704OtherGHI
NJ3838451-003OtherCIGNA-PULMONARY
NJ01000347101OtherAMERICHOICE-PULMONARY
NJ02176169000OtherAMERIHEALTH
NJ290014240OtherRAIL ROAD
NJ2681928OtherAETNA
NJ01000347102OtherAMERICHOICE-CRITICAL CARE
NJF19919Medicare UPIN