DR. DOUGLAS NOWACKI (NPI# 1518302660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518302660 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS NOWACKI |
| Credential | M.D. |
| Practice Address |
1200 Eagle Ave Ocean NJ 07712 |
| Mailing Address |
1200 Eagle Ave Ocean NJ 07712-7631 |
| Practice Telephone | 7326606200 |
| Practice Fax Number | 7326606201 |
| Mailing Telephone | 7326606200 |
| Mailing Fax Number | 7326606201 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
25MA10656500 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4860 Y St Ste 3800, Sacramento, CA 95817 | 9167342807 | 9167347904 |
| Street Address |
1200 EAGLE AVE |
| City | OCEAN |
| State | NJ |
| Zip Code | 07712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730152562 | Joseph Thomas Gower | Orthopaedic Surgery | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2006-02-10 |
| 1730707100 | Shannon Marie Gathman | Occupational Therapist | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2020-07-11 |
| 1619515699 | Nicole Farkouh | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-12-20 |
| 1245878941 | Matthew Jepson | Physical Therapy Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-12-13 |
| 1760020465 | Carolina Perez-caballero | Physical Therapy Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-12-13 |
| 1205482718 | Kelly Zarnowski | Physical Therapist | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-08-12 |
| 1770145344 | Kyle Glen Yurcisin | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-07-03 |
| 1801454376 | Joseph William Paton | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-05-30 |
| 1326506791 | Bevin Benton | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-03-05 |
| 1134607674 | Joseph Tulino | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2018-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033142112 | Grigory R Goldberg | Orthopaedic Surgery | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
| 1164983268 | Gbolahan O. Okubadejo, M.d PC | Orthopaedic Surgery | 32 Marquis Ct, Edgewater, NJ 07020-2900 | 2019-03-29 |
| 1033614409 | Atherton Medical PC | Orthopaedic Surgery | 33 Park View Ave Apt 1105, Jersey City, NJ 07302-8306 | 2018-03-28 |
| 1821480245 | Heidi Martin Hullinger Md, PC | Orthopaedic Surgery | 33 Overlook Rd Ste 305, Summit, NJ 07901-3563 | 2015-02-22 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1265754832 | Specialized Spine Surgery | Orthopaedic Surgery | 835 Chanticleer Drive, Cherry Hill, NJ 08003-4813 | 2010-02-23 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| 1588841225 | Dr Roland Johnkins | Orthopaedic Surgery | 24 Mare Haven Ct, North Brunswick, NJ 08902-4847 | 2008-01-24 |
| 1497947022 | Gbolahan Olawole Okubadejo | Orthopaedic Surgery | 25 Rockwood Pl Ste 335, Englewood, NJ 07631-4959 | 2007-08-17 |
| 1578765244 | Joshua Seth Rovner | Orthopaedic Surgery | 440 Curry Ave Ste A, Englewood, NJ 07631-1794 | 2007-06-04 |
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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.