Active NPI
Charles J Abate, MD
- Pulmonary Disease Physician
- Ossining, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 170099
- Practice address
- 310 N Highland Ave
Care Mount Medical, P.C
Ossining, NY 10562-6300 - Phone
- (914) 762-4141
- Fax
- (914) 762-8350
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1700991 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 170099 | NY | Primary |
Addresses
Primary practice location
310 N Highland Ave
Care Mount Medical, P.C
Ossining, NY 10562-6300
Mailing address
110 S Bedford Rd
Care Mount Medical, P.C
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01349173 | Medicaid | NY | |
| P01054302 | Other | NY | MEDICARE RAILROAD |
| 1720180003 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070404000462 | NY | Practitioner - Pulmonary Disease | 8527162239 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1700991 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients |
Locations
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
100 S Highland Ave
Ossining, NY 10562
Phone (914) 373-4949
310 N Highland Ave
Ste 2
Ossining, NY 10562
Phone (914) 762-4141
2 Stowe Rd
Peekskill, NY 10566
Phone (914) 621-2007
Philadelphia, PA 19195
Interoperability endpoints
- charles.abatemd@direct.hvhc.org
- cabate144315@direct.optum.com
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.
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1720180003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BEDFORD RD",
"address_2": "CARE MOUNT MEDICAL, P.C",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493446",
"telephone_number": "914-241-1050",
"fax_number": "914-242-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N HIGHLAND AVE",
"address_2": "CARE MOUNT MEDICAL, P.C",
"city": "OSSINING",
"state": "NY",
"postal_code": "105626300",
"telephone_number": "914-762-4141",
"fax_number": "914-762-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABATE",
"first_name": "CHARLES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1700991",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "170099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01349173",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01054302",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1720180003",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ossining, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.