Organization Active NPI

Shastine Abate MD PA

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1972783926
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D50296 Issued in MD
Legal business name
SHASTINE ABATE MD PA
Practice address
7004 Security Blvd
Ste 101
Baltimore, MD 21244-2557
Phone
(410) 277-3490
Fax
(410) 277-4823
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Shastine Abate
Title
MD/President
Phone
(410) 277-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X D50296 MD Primary

Addresses

Primary practice location

7004 Security Blvd
Ste 101
Baltimore, MD 21244-2557

Mailing address

7004 Security Blvd
Ste 101
Baltimore, MD 21244-2557
Phone (410) 277-3490

Other identifiers 2

IdentifierTypeStateIssuer
M41040OtherMDCDS
D50296OtherMDMD LICENSE

National Provider Directory

National Provider Directory

Locations

7004 Security Blvd
Ste 101
Windsor Mill, MD 21244
Phone (410) 277-3490

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972783926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD",
            "address_2": "STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442557",
            "telephone_number": "410-277-3490",
            "fax_number": "410-277-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD",
            "address_2": "STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442557",
            "telephone_number": "410-277-3490",
            "fax_number": "410-277-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTINE ABATE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ABATE",
        "authorized_official_first_name": "SHASTINE",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "410-277-3490"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D50296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "M41040",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "D50296",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.