Mark Abel, M.D.

Individual provider Active NPI Dermatology Physician · Brick, NJ

NPI 1023082534 · NPPES record last updated Apr 25, 2012

Key facts

NPI
1023082534
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
25MA02798000 (NJ)
Practice address
465B Laurel Brook Dr
Brick, NJ 08724-2804
Phone
(732) 458-4075
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20141027002452 NJ Order and Referring Only - Dermatology
Practitioner - Dermatology
6608097126

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA02798000 NJ Yes
Family Medicine Physician 207Q00000X 25MA02798000 NJ

Addresses

Primary practice location

465B Laurel Brook Dr
Brick, NJ 08724-2804

Mailing address

465B Laurel Brook Dr
Brick, NJ 08724-2804

Other providers in Brick, NJ

All providers in Brick, NJ · Dermatology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.