DR. JERRYL P ABRAHAM MD
NPI 1760125215
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Jerryl Abraham's NPI number?

The NPI number for Jerryl Abraham is 1760125215. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Jerryl Abraham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jerryl Abraham was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 13, 2022PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-5731 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jerryl P Abraham Md NPPES

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

DR. JERRYL P ABRAHAM MD (NPI 1760125215) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2022).

NPPES Registry Identity

NPI1760125215

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JERRYL P ABRAHAMCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401

Phone(718) 920-5731

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2022

Enumeration DateApril 13, 2022

NPPES CertifiedApril 13, 2022

✔ NPI 1760125215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerryl P Abraham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880102425

PECOS Enrollment IDI20250805000040

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)