Individual provider Active NPI

Jayne Pavlak-Schenk, DO

  • Medical Oncology Physician
  • Brick, NJ
National Provider Identifier
1689664773
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
25MB04677600 Issued in NJ
Practice address
1608 Route 88 W
Suite 250
Brick, NJ 08724-3009
Phone
(732) 840-8880
Fax
(732) 840-3939
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 25MB04677600 NJ Primary

Addresses

Primary practice location

1608 Route 88 W
Suite 250
Brick, NJ 08724-3009

Mailing address

1608 Route 88 W
Suite 250
Brick, NJ 08724-3009
Phone (732) 840-8880

Other identifiers 10

IdentifierTypeStateIssuer
112402OtherNJCHN
2337434OtherNJAETNA
5042801MedicaidNJ
3819175002OtherNJCIGNA
830006946OtherNJMEDICARE RAILROAD
040046776NJ01OtherNJANTHEM
71679OtherNJLOCAL 825
855791OtherNJEMPIRE HEALTHCARE
38470OtherNJMASTERCARE
6101430OtherNJGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000729 NJ Practitioner - Medical OncologyPractitioner - Hematology/Oncology 0143417725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.22
Promoting interoperability
99
Improvement activities
40
Cost
97.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06311400NJMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Sep 1, 2024 Accepting new patients
Titan Health Partners LLC Specialist CurrentSince Aug 27, 1990 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1608 Route 88 W
Ste 250
Brick, NJ 08724
Phone (732) 840-8880

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

500 Frank W Burr Blvd
#560
Teaneck, NJ 07666

508 Lakehurst Rd
Ste 1B
Toms River, NJ 08755
Phone (732) 244-1440

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1689664773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "SUITE 250",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-840-8880",
            "fax_number": "732-840-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88 W",
            "address_2": "SUITE 250",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "732-840-8880",
            "fax_number": "732-840-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAK-SCHENK",
        "first_name": "JAYNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "25MB04677600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN",
            "identifier": "112402",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2337434",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5042801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3819175002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "830006946",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "040046776NJ01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 825",
            "identifier": "71679",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCARE",
            "identifier": "855791",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTERCARE",
            "identifier": "38470",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6101430",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.