Individual provider Active NPI

John Zachary Shumko, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chatham, NJ
National Provider Identifier
1295739571
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MA60908 Issued in NJ
Practice address
40 Main St
Chatham, NJ 07928-2431
Phone
(973) 635-0800
Fax
(973) 635-3137
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MA60908 NJ Primary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 25MA06090800 NJ

Addresses

Primary practice location

40 Main St
Chatham, NJ 07928-2431

Mailing address

40 Main St
Chatham, NJ 07928-2431
Phone (973) 635-0800

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
I20100503000435 NJ Practitioner - Physical Medicine and Rehabilitation 0941338594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rowan University School of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Spine Center, LLCGroup PAC ID 5092785030, 11 clinicians

Practice addresses (Care Compare)

40 Main St
Chatham, NJ 07928-2431
Phone (973) 635-0800

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
70.01 of 100Reported as group
Quality
55.95
Promoting interoperability
77
Improvement activities
40
Cost
63.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60908NJMDPhysical Medicine & Rehabilitation Physician
25MA06090800NJMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2015 Accepting new patients
New Jersey Spine Center, LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

40 Main St
Chatham, NJ 07928
Phone (973) 635-0800

67 Walnut Ave
Ste 103B
Clark, NJ 07066
Phone (973) 635-0800

79 Hudson St
Ste 301
Hoboken, NJ 07030
Phone (908) 481-1270

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

200 S Orange Ave
Ste 230
Livingston, NJ 07039
Phone (973) 322-7005

25 E Willow St
Ste 101
Millburn, NJ 07041

25 E Willow St
Millburn, NJ 07041
Phone (973) 379-5055

70 Sparta Ave
Ste 202
Sparta, NJ 07871
Phone (973) 635-0800

Interoperability endpoints

  • Direct secure messaging: jshumko@njspinecenter.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1295739571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282431",
            "telephone_number": "973-635-0800",
            "fax_number": "973-635-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282431",
            "telephone_number": "973-635-0800",
            "fax_number": "973-635-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMKO",
        "first_name": "JOHN",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA60908",
            "primary": true
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NJ",
            "license": "25MA06090800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.