David Shaker DO LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25BM10243200 Issued in NJ

Legal business name

DAVID SHAKER DO LLC

Practice address

38 Summit Ave
Hackensack, NJ 07601-1263

Phone

(201) 343-6360

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

David Shaker, DO

Title

Owner

Phone

(201) 343-6360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1548756786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-343-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-343-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SHAKER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-343-6360",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25BM10243200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samyadev Datta, MD
• Mindy Dauber
• Nupur Dave, BCBA
• David J. Bikoff, MD, PA
• David P. Bleeker MD
• Allan Brice Davidson, PHARMD
• Marson T Davidson, MD
• Luisa Yoiko Davila, BS, MS, ATC
• Charles Stephen Davis, MD
• Beverly Davison, MD

• Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.