Organization Active NPI

Maxim Karabach, MD, LLC

  • Internal Medicine Physician
  • Whiting, NJ
National Provider Identifier
1447599519
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
Legal business name
MAXIM KARABACH, MD, LLC
Practice address
67 - Lacey Rd.
Ste 5
Whiting, NJ 08759-2354
Phone
(732) 716-1700
Fax
(732) 716-0500
NPI assigned
Feb 8, 2013
Organization subpart
No

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

Authorized official

Name
Mr. Maxim Karabach, MDNPI 1144381005
Title
Owner/Practing Physician
Phone
(732) 716-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130214000012 NJ Part B Supplier - Clinic/Group Practice 4789838020 Receives reassigned benefits from 2 practitioners
Practice locations: Whiting, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0979084Maxim Karabach MD LLC67 Lacey Road, Suite 5, Whiting, NJ 08759Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1447599519",
    "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": {
        "organization_name": "MAXIM KARABACH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "KARABACH",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "OWNER/PRACTING PHYSICIAN",
        "authorized_official_telephone_number": "732-716-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA66521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.