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DR. JAMES V ABRAHAM M.D.
NPI 1770754632
Internal Medicine - Pulmonary Disease in Passaic, NJ

Active since March 19, 2008PECOS EnrolledAccepts Medicare Assignment
124 GREGORY AVE, UNIT 301, PASSAIC, NJ 07055(973) 777-8121(973) 777-3622 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James V Abraham M.d. NPPES

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

DR. JAMES V ABRAHAM M.D. (NPI 1770754632) is an individual pulmonary disease provider in Passaic, New Jersey, licensed in New Jersey (25MA05604700) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1770754632
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JAMES V ABRAHAMCredential: M.D.
Location Address124 GREGORY AVE, UNIT 301Passaic, NJ 07055-4856
Mailing Address124 Gregory Ave, Unit 301Passaic, NJ 07055-4856 · (973) 777-8121 · Fax (973) 777-3622
Phone(973) 777-8121
Fax(973) 777-3622
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateMarch 19, 2008
Last NPPES UpdateJune 25, 2013
✔ NPI 1770754632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA05604700
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA05604700 (NJ)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA05604700 (NJ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25MA05604700 (NJ)
124 GREGORY AVE, Passaic, NJ 07055
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Other Identifiers 17

Other01000347102NJ · Americhoice-critical Care
Other223820801NJ · Horizon Bcbs Of Nj
Other23J392NJ · Empire Bcbs
Other2681928NJ · Aetna
Other02176169000NJ · Amerihealth
Other01000347101NJ · Americhoice-pulmonary
Medicaid7489901NJ
Medicare PIN005251NJ
OtherP2023783NJ · Oxford
Other1948961NJ · United Health Care
Other3838451-003NJ · Cigna-pulmonary
Other290014240NJ · Rail Road
Medicare UPINF19919NJ
Other01000347100NJ · Americhoice-int. Med.
Other97794NJ · Amerigroup
Other4123649BNJ · Cigna
Other2596704NJ · Ghi

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

Dr. James V Abraham M.d. 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 ID2769380203
PECOS Enrollment IDI20031222000693
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310006
Location350 BoulevardPassaic, NJ 07055 · Passaic County
Emergency services Birthing friendly

Carepoint Health-Hoboken University Medical Center

Acute Care Hospitals · Hoboken, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310040
Location308 Willow AveHoboken, NJ 07030 · Hudson County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
3%59 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims30 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims19 services$1.07 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers12 claims12 services$27.71 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$67.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims104 services$1.55 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$11.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MS. JACY KNAGGS MA
Counselor (Mental Health)
124 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (973) 928-7244
COMPLETE NEUROLOGICAL CARE OF NJ PC
Psychiatry & Neurology (Clinical Neurophysiology)
124 GREGORY AVE, SUITE 203
PASSAIC, NJ 07055
Passaic County (212) 349-2787
JAMES V ABRAHAM
Internal Medicine (Pulmonary Disease)
124 GREGORY AVE, UNIT 301
PASSAIC, NJ 07055
Passaic County (973) 777-8121
NIRALI P BORAD OTRL
Occupational Therapist
124 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (973) 657-6334
ALPHA CARE PEDIATRICS, LLC
Clinic/Center (Primary Care)
124 GREGORY AVE, SUITE 201
PASSAIC, NJ 07055
Passaic County (973) 471-4440
WALTER COSILLO LAC
Counselor (Mental Health)
124 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (973) 928-7244
JOSE R. SACHEZ-PENA M.D.P.C
Internal Medicine (Cardiovascular Disease)
124 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (973) 471-9800
MOHIT MEHTA DPT
Physical Therapist
124 GREGORY AVE
PASSAIC, NJ 07055
Passaic County (732) 771-9023

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 James Abraham's NPI number?

The NPI number for James Abraham is 1770754632. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is James Abraham located?

James Abraham practices at 124 Gregory Ave Unit 301, Passaic, NJ 07055. The listed phone number is (973) 777-8121.

What is James Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Abraham enrolled in Medicare?

Yes. James 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.

Is James Abraham affiliated with any hospitals?

According to CMS data, James Abraham is affiliated with St Mary's General Hospital and Carepoint Health-Hoboken University Medical Center.

When was this NPI record last updated?

The NPPES record for James Abraham was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.