Martin D. Schlakman, M.D. LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

25MAO6566600 Issued in NJ

Legal business name

MARTIN D. SCHLAKMAN, M.D. LLC

Practice address

1109 Amboy Ave
Edison, NJ 08837-2877

Phone

(732) 549-2220

Fax

(732) 603-0673

NPI assigned

Sep 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lois Bonanno

Title

Secretary

Phone

(732) 549-2220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin D. Schlakman, MD

  • Psychiatry Physician
  • Metuchen, NJ
  • NPI 1144413873
  Medicare reassignment NPD

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689183311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372877",
            "telephone_number": "732-549-2220",
            "fax_number": "732-603-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372877",
            "telephone_number": "732-549-2220",
            "fax_number": "732-603-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN D. SCHLAKMAN, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BONANNO",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "732-549-2220"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "25MAO6566600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Markel, O.T.
• Steven Matthew Markos, MD
• Vanessa Marques
• Mariesabel Marquez-Zamuco, RPH
• Virginia Aira Lara Marquez, RN
• Ariel Martin
• Caprice Martin
• Kiya Martin
• Camila Otilia Martinez-Terrero
• Genara Marie Martins

• Geriatric Psychiatry Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Geriatric Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.