Individual provider Active NPI

Shereen Anes Makar, MD

  • Physical Medicine & Rehabilitation Physician
  • East Hanover, NJ
National Provider Identifier
1659317824
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA08096100 Issued in NJ
Practice address
120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168
Phone
(201) 447-4772
Fax
(862) 701-6444
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA08096100 NJ
Physical Medicine & Rehabilitation Physician 208100000X 241250 NY
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 25MA08096100 NJ Primary

Addresses

Primary practice location

120 Eagle Rock Ave Ste 154
East Hanover, NJ 07936-3168

Mailing address

561 Craig Ave
Staten Island, NY 10307-1238
Phone (718) 501-3257

Other identifiers 1

IdentifierTypeStateIssuer
02941335MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060724000145 NJ Practitioner - Physical Medicine and Rehabilitation 9537172275 Reassigns benefits to 1 organization
I20080201000331 NY Practitioner - Physical Medicine and Rehabilitation 9537172275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Specialists of New Jersey LLC 15 clinicians

Practice addresses (Care Compare)

200 Madison Ave
BLDG 4
Madison, NJ 07940-1016
Phone (973) 549-7550

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241250NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Specialists of New Jersey, LLC Specialist CurrentSince Nov 1, 2019 Accepting new patients
Kings Physician Services, PC Single Specialty CurrentSince Sep 1, 2016 Accepting new patients
Kings Physician Services, PC Single Specialty CurrentSince Sep 1, 2016 Accepting new patients

Locations

120 Eagle Rock Ave
Ste 154
East Hanover, NJ 07936
Phone (201) 407-5145

1 S Ridgedale Ave
East Hanover, NJ 07936
Phone (973) 433-5104

200 Madison Ave
Bldg 4
Madison, NJ 07940
Phone (973) 549-7550

151 Madison Ave
Morristown, NJ 07960
Phone (973) 565-2700

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1659317824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 CRAIG AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071238",
            "telephone_number": "718-501-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 154",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363168",
            "telephone_number": "201-447-4772",
            "fax_number": "862-701-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAR",
        "first_name": "SHEREEN",
        "middle_name": "ANES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08096100",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "241250",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA08096100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02941335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

Verify at the official NPI Registry.