Active NPI
Mark Howard Abensohn, M.D.
- Internal Medicine Physician
- Medfield, MA
National Provider Identifier
1225005465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56322
- Practice address
- 266 Main St
Unit 4
Medfield, MA 02052-2018 - Phone
- (508) 359-8141
- Fax
- (508) 359-8005
- NPI assigned
- Mar 7, 2006
- Last updated
- Feb 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56322 | MA | Primary |
Addresses
Primary practice location
266 Main St
Unit 4
Medfield, MA 02052-2018
Mailing address
266 Main St
P.O. Box 469
Medfield, MA 02052-2018
Phone (508) 359-8141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089726 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medfield Internal Medicine, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
266 Main St
Ste 4
Medfield, MA 02052
Phone (508) 359-4364
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Medfield, MA
- NPI 1326137704
-
- Internal Medicine Physician
- Medfield, MA
- NPI 1174364723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1225005465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 MAIN ST",
"address_2": "P.O. BOX 469",
"city": "MEDFIELD",
"state": "MA",
"postal_code": "020522018",
"telephone_number": "508-359-8141",
"fax_number": "508-359-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 MAIN ST",
"address_2": "UNIT 4",
"city": "MEDFIELD",
"state": "MA",
"postal_code": "020522018",
"telephone_number": "508-359-8141",
"fax_number": "508-359-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABENSOHN",
"first_name": "MARK",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "56322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2089726",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.