Physician Compare National (NPI:1679682892)

HEALTHCARE PROVIDER: MANOJ TIMOTHY ABRAHAM M.D., F.A.C.S.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679682892
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567455827
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040405000626
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABRAHAM
	Individual professional last name
Provider First Name	MANOJ
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PLASTIC AND RECONSTRUCTIVE SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	82 N WATER ST
	Group Practice or individual's line 1 address
City	POUGHKEEPSIE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	126011721
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330234
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WESTCHESTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y