Mario D. Abad Jr., MD – Family Medicine Physician

Key facts

NPI: 1710022975
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: MD050295L (PA)
Practice address: 51 Business Campus Way Ste 200
Duncannon, PA 17020-9596
Phone: (717) 834-3108
Fax: (717) 834-6911
NPI assigned: Feb 21, 2007
Sex: Male
Sole proprietor: No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD050295L	PA	MD	Family Medicine Physician
25MA05298400	NJ	MD	Internal Medicine Physician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	25MA05298400	NJ
Family Medicine Physician	207Q00000X	MD050295L	PA	Yes

Addresses

Primary practice location

51 Business Campus Way Ste 200
Duncannon, PA 17020-9596

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 13, 2018.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1710022975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BUSINESS CAMPUS WAY STE 200",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170209596",
            "telephone_number": "717-834-3108",
            "fax_number": "717-834-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAD",
        "first_name": "MARIO",
        "middle_name": "D.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05298400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD050295L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncannon, PA

All providers in Duncannon, PA · Family Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.