ANTONIOUS JONAH ABRAHAM PA-C
NPI 1003434275
in Bolton, MA

Active since July 13, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2023, Oct 16, 2023, Oct 13, 2023 and 1 more (4 updates tracked since 2020).

About Antonious Jonah Abraham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIOUS JONAH ABRAHAM PA-C (NPI 1003434275) is an individual healthcare provider in Bolton, Massachusetts and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003434275
Entity TypeIndividualMale
Provider Legal NameANTONIOUS JONAH ABRAHAMCredential: PA-C
Location Address99 CORN RDBolton, MA 01740-1055
Mailing Address293 N State College Blvd Apt 3068Orange, CA 92868-5724 · (978) 325-1322
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 13, 2020
Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1003434275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
99 CORN RD, Bolton, MA 01740

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Antonious Jonah Abraham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072984673
PECOS Enrollment IDI20230118001725
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonious Abraham's NPI number?

The NPI number for Antonious Abraham is 1003434275. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Antonious Abraham located?

Antonious Abraham practices at 99 Corn Rd, Bolton, MA 01740. The listed phone number is (978) 325-1322.

Is Antonious Abraham enrolled in Medicare?

Yes. Antonious Abraham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Antonious Abraham was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.