Individual provider Active NPI

Vincent Abenante, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Manahawkin, NJ
National Provider Identifier
1013913847
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA06837000 Issued in NJ
Practice address
588 E Bay Ave
Suite 1
Manahawkin, NJ 08050-3392
Phone
(609) 489-0220
Fax
(609) 489-0228
NPI assigned
Jun 27, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA06837000 NJ Primary

Addresses

Primary practice location

588 E Bay Ave
Suite 1
Manahawkin, NJ 08050-3392

Mailing address

588 E Bay Ave
Suite 1
Manahawkin, NJ 08050-3392
Phone (609) 489-0220

Other identifiers 1

IdentifierTypeStateIssuer
25MA06837000OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000372 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3779521570 Practice locations: Manahawkin, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
State University of New York Downstate Medical Center, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

588 E Bay Ave
Suite 1
Manahawkin, NJ 08050-3392
Phone (609) 489-0220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Catskill Regional Medical Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013913847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 E BAY AVE",
            "address_2": "SUITE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503392",
            "telephone_number": "609-489-0220",
            "fax_number": "609-489-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 E BAY AVE",
            "address_2": "SUITE 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503392",
            "telephone_number": "609-489-0220",
            "fax_number": "609-489-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENANTE",
        "first_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA06837000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA06837000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.