THE YOUTH FOUNTAIN (NPI# 1598190506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598190506 |
| Entity Type | Organization |
| Organization Name | THE YOUTH FOUNTAIN |
| Other Organization Name | YOUTH FOUNTAIN |
| Practice Address |
501 Iron Bridge Rd Suite 9 Freehold NJ 07728-5304 |
| Practice Telephone | 8665140025 |
| Practice Fax Number | 7323580524 |
| Mailing Telephone | 8665140025 |
| Mailing Fax Number | 7323580524 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | DR. EMIL SHAKOV (OWNER) |
| Authorized Official Telephone | 8665140025 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Youth Fountain | Doing Business As Name - Organization |
| Street Address |
501 IRON BRIDGE RD SUITE 9 |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174598619 | Mark S Kroll | Specialist | 501 Iron Bridge Rd, Suite 15, Freehold, NJ 07728-5304 | 2006-02-20 |
| 1184161671 | Primary Physical Therapy, LLC | Clinic/Center | 501 Iron Bridge Rd, Suite 7, Freehold, NJ 07728-5304 | 2017-01-23 |
| 1518401363 | Scott Minchello | Counselor | 501 Iron Bridge Rd, Freehold, NJ 07728-5304 | 2016-12-13 |
| 1962945436 | Qualiyah Arrington | Social Worker | 501 Iron Bridge Rd, Suite 15, Freehold, NJ 07728-5304 | 2016-11-30 |
| 1427501758 | Valerie Magrino | Nurse Practitioner | 501 Iron Bridge Rd, Suite 6, Freehold, NJ 07728-5304 | 2016-08-03 |
| 1114301405 | John Inauen | Counselor | 501 Iron Bridge Rd, Freehold, NJ 07728-5304 | 2015-07-16 |
| 1154725307 | Colby Daferede | Social Worker | 501 Iron Bridge Rd, Suite 15, Freehold, NJ 07728-5304 | 2014-10-17 |
| 1295141745 | Apex Gastroenterology, LLC | Internal Medicine | 501 Iron Bridge Rd, Suite 9, Freehold, NJ 07728-5304 | 2014-07-05 |
| 1306121900 | Kari A Vogel | Physical Therapist | 501 Iron Bridge Rd, Suite 7, Freehold, NJ 07728-5304 | 2011-10-14 |
| 1548555972 | Regional Women's Health Group, Lld | Obstetrics & Gynecology | 501 Iron Bridge Rd, Ste 10, Freehold, NJ 07728-5304 | 2011-06-14 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841784360 | Specialty Physicians Nj | Surgery | 501 Iron Bridge Rd Ste 9, Freehold, NJ 07728-5305 | 2018-06-18 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1447726880 | Ck Surgical, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728-2537 | 2018-10-23 |
| 1013447291 | Yevgas Precesion Services | Surgery | 901 W Main St, Freehold, NJ 07728-2537 | 2017-06-19 |
| 1114285459 | Armour Breast Surgery LLC | Surgery | 900 W Main St, Suite 4, Freehold, NJ 07728-2523 | 2012-04-24 |
| 1912138496 | Prime Surgicare, LLC | Surgery | 901 W Main St, Freehold, NJ 07728-2537 | 2009-08-02 |
| 1649405309 | Advanced Surgical Associates of Central Jersey, LLC | Surgery | 901 W Main St, Freehold, NJ 07728-2537 | 2009-05-26 |
| 1790928521 | Emil Shakov | Surgery | 501 Iron Bridge Rd, Suite 9, Freehold, NJ 07728-5304 | 2009-04-09 |
| 1518155365 | Amit S Kharod Md LLC | Surgery | 901 W Main St, Suite 107, Freehold, NJ 07728-2537 | 2007-10-05 |
| 1366645467 | Central Jersey Bariatrics, LLC | Surgery | 901 W Main St, Suite 104, Freehold, NJ 07728-2537 | 2007-06-06 |
| Find all providers in FREEHOLD | ||||
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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.