Makowski Medical Associates PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB02539100 Issued in NJ

Legal business name

MAKOWSKI MEDICAL ASSOCIATES PA

Practice address

608 Union Ave
Brielle, NJ 08730-1834

Phone

(732) 528-5626

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Charles Joseph Makowski, DO

Title

Physician

Phone

(732) 528-5626

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1447446307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 UNION AVE",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301834",
            "telephone_number": "732-528-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 UNION AVE",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301834",
            "telephone_number": "732-528-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKOWSKI MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "MAKOWSKI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-528-5626",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02539100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2786800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda C Knust, PSY.D.
• Kristin M. O'Gara, MSW, LCSW, LLC
• Michelle Lehotay, D.C.
• Jessica Lelinho, LPC, LCADC
• Deidre Stamos Lonza, LCSW, LCADC
• Charles Joseph Makowski, DO
• Courtney Jill Matthaei, PSY.D
• John M Murray, D.M.D.
• Nancy Kleinfeld, R.D., Ibclc, RLC
• Nav Rehab Chiropractic LLC

• All providers in Brielle, NJ
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.