Individual provider Active NPI

Maribel Abbate, M.D.

  • Psychiatry Physician
  • Madison, NJ
National Provider Identifier
1871769489
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07507800 Issued in NJ
Practice address
300 Main St # 508
Madison, NJ 07940-2369
Phone
(973) 847-2120
Fax
(973) 847-2121
NPI assigned
May 3, 2008
Last updated
Oct 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 218976 NY
Psychiatry Physician 2084P0800X 25MA07507800 NJ Primary

Addresses

Primary practice location

300 Main St # 508
Madison, NJ 07940-2369

Mailing address

25 Crescent Rd
Madison, NJ 07940-2519
Phone (973) 847-2120

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 20, 2020 through Nov 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07507800NJMDPsychiatry Physician
218976NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1871769489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CRESCENT RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402519",
            "telephone_number": "973-847-2120",
            "fax_number": "973-847-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST # 508",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402369",
            "telephone_number": "973-847-2120",
            "fax_number": "973-847-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBATE",
        "first_name": "MARIBEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-03",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218976",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07507800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

Verify at the official NPI Registry.