DR. JASON A SHATKIN (NPI# 1669529202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669529202 |
| Entity Type | Individual |
| Full Name | DR. JASON A SHATKIN |
| Other Name | DR. JASON A SHATKIN |
| Credential | MD |
| Practice Address |
1 Sears Dr Ste 306 Paramus NJ 07652-3510 |
| Practice Telephone | 2018302287 |
| Practice Fax Number | 2018302286 |
| Mailing Telephone | 2018302287 |
| Mailing Fax Number | 2018302286 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA07216300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA07216300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
25MA07216300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 046737AD7Q | 01 |
| Street Address |
1 SEARS DR STE 306 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386701654 | Michael L Gross | Internal Medicine | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2007-01-03 |
| 1477118933 | Erica Kessler | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2019-05-09 |
| 1649783010 | Daniel Arthur | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2017-11-08 |
| 1518493642 | Diana V Araque | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2017-05-10 |
| 1952842460 | Physician Specialists of Northern Jersey LLC | Internal Medicine | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2017-03-16 |
| 1710433792 | Cori Elizabeth Sondervan | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2016-08-30 |
| 1154767903 | Jennifer K Porco | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2013-05-21 |
| 1528201993 | Cristobal Goa | Internal Medicine | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760409411 | Serge Dumay | Internal Medicine | 211 Howland Ave, Paramus, NJ 07652-5307 | 2006-07-17 |
| 1437370848 | Muzamil Wamiq Sheikh | Internal Medicine | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2007-05-01 |
| 1982729687 | Pulmonary Medicine Associates, P.a. | Internal Medicine | 1 W Ridgewood Ave, Suite 206, Paramus, NJ 07652-2359 | 2007-03-20 |
| 1104894559 | Barry Hal Sakowitz | Internal Medicine | 1 W Ridgewood Ave, Suite 206, Paramus, NJ 07652-2359 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494319 | Intensivist Md Support LLC | Internal Medicine | 1931 Oak Tree Rd Ste 202, Edison, NJ 08820-2072 | 2020-07-09 |
| 1124598438 | North Jersey Pulmonary Associates | Internal Medicine | 1040 Main St # 3, Paterson, NJ 07503-2212 | 2018-11-29 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1720522303 | Middlesex Pulmonary Geriatric Associates LLC | Internal Medicine | 815 New Dover Rd, Edison, NJ 08820-1820 | 2016-12-15 |
| 1750758785 | Internal and Pulmonary Medicine Associates LLC | Internal Medicine | 27 Primrose Ln, Sparta, NJ 07871-3495 | 2015-08-25 |
| 1083096598 | Justin Pi Md Inc | Internal Medicine | 241 Colby Pl, Morganville, NJ 07751-1744 | 2015-06-19 |
| 1710305339 | Scott G. Ferrara | Internal Medicine | 160 Essex St Ste 103, Lodi, NJ 07644-2709 | 2014-04-01 |
| 1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
| 1942633656 | Carolina Pinzon Escobar | Internal Medicine | 1 Springfield Ave Fl 3, Summit, NJ 07901-4055 | 2013-08-16 |
| 1255690822 | Medical Specialists of Northern Newjersey LLC | Internal Medicine | 54a Hazen Ct, Wayne, NJ 07470-3212 | 2012-05-16 |
| 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.