Active NPI
Mark Karolak, D.O.
- Facial Plastic Surgery Physician
- Brick, NJ
National Provider Identifier
1063482651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 25MB07694400
- Practice address
- 208 Jack Martin Blvd
Brick, NJ 08724-7770 - Phone
- (732) 458-8575
- Fax
- (732) 206-0578
- NPI assigned
- Jan 25, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 25MB07694400 | NJ | Primary |
Addresses
Primary practice location
208 Jack Martin Blvd
Brick, NJ 08724-7770
Mailing address
208 Jack Martin Blvd
Brick, NJ 08724-7770
Phone (732) 458-8575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose Throat and Facial Plastic Surgery Associates PC | Facial Plastic Surgery | Past | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Facial Plastic Surgery Physician
- Brick, NJ
- NPI 1033167671
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063482651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247770",
"telephone_number": "732-458-8575",
"fax_number": "732-206-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247770",
"telephone_number": "732-458-8575",
"fax_number": "732-206-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAROLAK",
"first_name": "MARK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "25MB07694400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.