SUJA ABRAHAM CRNP NPI 1275911307

NPI Information

  • NPI: 1275911307
  • Provider Name: SUJA ABRAHAM, CRNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7101 OLD YORK RD
    PHILADELPHIA, PA
    ZIP 19126
  • Phone: (215) 424-4090

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NPI Details

Suja Abraham, CRNP is a gerontology nurse practitioner in Philadelphia, PA. Suja Abraham, CRNP NPI is 1275911307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7101 OLD YORK RD
PHILADELPHIA, PA
ZIP 19126-114
Phone: (215) 424-4090

The NPI 1275911307 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2015 and was last updated on 5/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologySP014952PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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