Charles Dakake,Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA030842000 Issued in NJ

Practice address

39 Newton Sparta Rd
Newton, NJ 07860-2773

Phone

(973) 383-9841

Fax

(973) 383-7989

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2010.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1316910474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "973-383-9841",
            "fax_number": "973-383-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKAKE,JR.",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA030842000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1776207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cunico Enterprises, Inc.
• Susan Jean Cunico, DC
• Eric Curley
• Leatrice M Current, APN-C
• Kimberly Dachisen, NP
• Candice Daly, LCSW
• Kevin Danilowski, DPT
• Amanda R Dauria
• Nick Paul Debitetto, D.O.
• Patricia Ann Deckert, RPH

• All providers in Newton, NJ
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.