Individual provider Active NPI

Charles J Abate, MD

  • Pulmonary Disease Physician
  • Ossining, NY
National Provider Identifier
1720180003
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
170099 Issued in NY
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

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01349173MedicaidNY
P01054302OtherNYMEDICARE RAILROAD
1720180003OtherNPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000462 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8527162239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1700991NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Apr 1, 2012 Accepting new patients
Optum Medical Care, P.C. CurrentSince Apr 1, 2012 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

  • Direct secure messaging: charles.abatemd@direct.hvhc.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.