Individual provider Active NPI

Martin D. Schlakman, MD

  • Psychiatry Physician
  • Metuchen, NJ
National Provider Identifier
1144413873
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
65666 Issued in NJ
Practice address
251 Main St
Metuchen, NJ 08840-2727
Phone
(732) 549-2220
Fax
(732) 603-0673
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 65666 NJ Primary

Addresses

Primary practice location

251 Main St
Metuchen, NJ 08840-2727

Mailing address

251 Main St
Metuchen, NJ 08840-2727
Phone (732) 549-2220

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
I20080723000338 NJ Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 7810060910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric PsychiatryAlso: Psychiatry
Education
Rutgers New Jersey Medical School, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1109 Amboy Ave
FL 1
Edison, NJ 08837-2877
Phone (732) 549-2220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65666NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin D. Schlakman, M.D. LLC CurrentSince Oct 30, 2017 Accepting new patients

Locations

1109 Amboy Ave
Fl 1
Edison, NJ 08837
Phone (732) 549-2220

1109 Amboy Ave
Edison, NJ 08837
Phone (732) 549-2220

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1144413873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402727",
            "telephone_number": "732-549-2220",
            "fax_number": "732-603-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402727",
            "telephone_number": "732-549-2220",
            "fax_number": "732-603-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAKMAN",
        "first_name": "MARTIN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "65666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.