Provider Demographics
NPI:1558347229
Name:ABEL, CARTER GRANT (MD)
Entity Type:Individual
Prefix:
First Name:CARTER
Middle Name:GRANT
Last Name:ABEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1465 STATE ROUTE 31 S
Mailing Address - Street 2:CONCOURSE AT BEAVER BROOK
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3129
Mailing Address - Country:US
Mailing Address - Phone:908-735-5100
Mailing Address - Fax:
Practice Address - Street 1:1465 STATE ROUTE 31 S
Practice Address - Street 2:CONCOURSE AT BEAVER BROOK
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3129
Practice Address - Country:US
Practice Address - Phone:908-735-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA61267207ND0101X, 207NS0135X, 207N00000X, 207NI0002X, 207ND0900X, 207NP0225X
NY202786-1207NS0135X, 207NI0002X, 207ND0900X, 207NP0225X
NY2027861-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F40827Medicare UPIN
820281Medicare ID - Type Unspecified