DR. JOHN MAK (NPI# 1417924168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417924168 |
| Entity Type | Individual |
| Full Name | DR. JOHN MAK |
| Credential | M.D. |
| Practice Address |
55 Schanck Rd Sute 8a Freehold NJ 07728 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Ste. 501 Hunt Valley MD 21031 |
| Practice Telephone | 7324319544 |
| Practice Fax Number | 7324319313 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2018-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25MA08226700 | NJ | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA08226700 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA08226700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE INDIVIDUAL ID NUMBER | 112407SL4 | 01 |
| Street Address |
55 SCHANCK RD SUTE 8A |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998750 | Rosemary Durnan | Anesthesiology | 55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 | 2005-08-02 |
| 1437681665 | Hybridge Learning Group | Behavioral Analyst | 55 Schanck Rd, Suite A-8, Freehold, NJ 07728-2964 | 2017-03-28 |
| 1699170811 | Lisa Sondak | Specialist | 55 Schanck Rd, Freehold, NJ 07728-2964 | 2014-10-30 |
| 1407272453 | Health Fusion Wellness LLC | Physical Therapist | 55 Schanck Rd, Suite A-4, Freehold, NJ 07728-2964 | 2014-03-14 |
| 1295160026 | A.k. Bhattacharya,md,llc | Specialist | 55 Schanck Rd, A-4, Freehold, NJ 07728-2964 | 2013-09-11 |
| 1356647648 | Enjay Physical Therapy, LLC | Physical Therapist | 55 Schanck Rd, Suite A-2, Freehold, NJ 07728-2964 | 2011-02-03 |
| 1396960092 | James S Mccaughan Md Pa | Surgery | 55 Schanck Rd, Suite A-20, Freehold, NJ 07728-2964 | 2007-04-16 |
| 1376688101 | Sandra Katarina Bon-beam | Chiropractor | 55 Schanck Rd, Ste B-19, Freehold, NJ 07728-3067 | 2007-02-20 |
| 1407909914 | Katy M Gaeta | Nurse Anesthetist, Certified Registered | 55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2963 | 2007-01-19 |
| 1881746881 | Anne Novak | Nurse Anesthetist, Certified Registered | 55 Schanck Rd, Suite 8a, Freehold, NJ 07728-2964 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104307230 | Premier Pain Centers, LLC. | Pain Medicine | 55 Schanck Rd Ste A-18, Freehold, NJ 07728-2986 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802220 | Spine & Pain Institute of New Jersey | Pain Medicine | 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 | 2020-08-18 |
| 1225680796 | Nj Interventional Pain Management LLC | Pain Medicine | 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 | 2019-07-15 |
| 1780246017 | Premier Pain Centers, LLC | Pain Medicine | 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 | 2019-07-08 |
| 1083271134 | Us Functional, LLC | Pain Medicine | 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 | 2019-05-23 |
| 1770043515 | Healthcare Pain Centers LLC | Pain Medicine | 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 | 2019-03-20 |
| 1780165829 | Premier Pain Centers, LLC. | Pain Medicine | 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 | 2018-08-27 |
| 1063993103 | Premier Pain Centers, LLC. | Pain Medicine | 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 | 2018-08-27 |
| 1720592942 | Pain Associates of Bergen County LLC | Pain Medicine | 294 State Street, Suite 2, Hackensack, NJ 07601 | 2017-11-27 |
| 1811421696 | Precision Spine & Sports Medicine Inc | Pain Medicine | 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 | 2017-04-18 |
| 1063879971 | Central Pain and Wellness | Pain Medicine | 725 Mill St, Moorestown, NJ 08057-1803 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.