NPIMap

Individual provider Active NPI

Abel Asafere

  • Specialist
  • Kensington, MD
National Provider Identifier
1366064339
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
10417 Metropolitan Ave Ste B
Kensington, MD 20895-2649
Phone
(301) 933-3722
NPI assigned
May 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Specialist 174400000X Primary

Addresses

Primary practice location

10417 Metropolitan Ave Ste B
Kensington, MD 20895-2649

Mailing address

10417 Metropolitan Ave Ste B
Kensington, MD 20895-2649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revampfit LLC Current Accepting new patients
Spirit Fit and Health, LLC CurrentSince May 17, 2020 Accepting new patients

Locations

10417 Metropolitan Ave
Ste B
Kensington, MD 20895
Phone (301) 933-3722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1366064339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10417 METROPOLITAN AVE STE B",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10417 METROPOLITAN AVE STE B",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952649",
            "telephone_number": "301-933-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAFERE",
        "first_name": "ABEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.