Individual provider Active NPI

Maxim Karabach, MD

  • Internal Medicine Physician
  • Whiting, NJ
National Provider Identifier
1144381005
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA66521 Issued in NJ
Practice address
67 Lacey Rd.
Ste 5
Whiting, NJ 08759-2354
Phone
(732) 716-1700
Fax
(732) 716-0500
NPI assigned
Dec 13, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA66521 NJ Primary

Addresses

Primary practice location

67 Lacey Rd.
Ste 5
Whiting, NJ 08759-2354

Mailing address

67 Lacey Rd.
Ste 5
Whiting, NJ 08759-2354
Phone (732) 716-1700

Other identifiers 3

IdentifierTypeStateIssuer
223740941OtherNJTAX ID
223740941MedicaidNJ
7399308MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000516 NJ Practitioner - Internal Medicine 0446279228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Maxim Karabach M.D, LLCGroup PAC ID 4789838020, 2 clinicians

Practice addresses (Care Compare)

67 Lacey Rd
Suite 5
Whiting, NJ 08759-2912

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA66521NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim Karabach, MD, LLC Internal Medicine CurrentSince Dec 16, 1997 Accepting new patients

Locations

2101 Lake Rd
Whiting, NJ 08759
Phone (614) 440-2672

67 Lacey Rd
Ste 5
Whiting, NJ 08759
Phone (732) 716-1700

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1144381005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LACEY RD.",
            "address_2": "STE 5",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592354",
            "telephone_number": "732-716-1700",
            "fax_number": "732-716-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LACEY RD.",
            "address_2": "STE 5",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592354",
            "telephone_number": "732-716-1700",
            "fax_number": "732-716-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARABACH",
        "first_name": "MAXIM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA66521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "223740941",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223740941",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7399308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

Verify at the official NPI Registry.