Individual provider Active NPI

Mick Abae, M.D.

  • Reproductive Endocrinology Physician
  • Plantation, FL
National Provider Identifier
1881677680
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
ME60217 Issued in FL
Practice address
201 N Pine Island Rd
Suite# I
Plantation, FL 33324-1840
Phone
(954) 584-2273
Fax
(954) 587-9630
NPI assigned
Nov 25, 2005
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X ME60217 FL Primary

Addresses

Primary practice location

201 N Pine Island Rd
Suite# I
Plantation, FL 33324-1840

Mailing address

201 N Pine Island Rd
Second Floor
Plantation, FL 33324-1840
Phone (954) 584-2273

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME60217FLMDReproductive Endocrinology Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1881677680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PINE ISLAND RD",
            "address_2": "SECOND FLOOR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241840",
            "telephone_number": "954-584-2273",
            "fax_number": "954-587-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PINE ISLAND RD",
            "address_2": "SUITE# I",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241840",
            "telephone_number": "954-584-2273",
            "fax_number": "954-587-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAE",
        "first_name": "MICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME60217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.