Specialty Physicians NJ

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPECIALTY PHYSICIANS NJ

Doing business as

Specialty Physicians NJ

Practice address

501 Iron Bridge Rd Ste 9
Freehold, NJ 07728-5305

Phone

(732) 845-5001

Fax

(732) 358-0524

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Emil Shakov, MDNPI 1790928521

Title

Owner

Phone

(732) 845-5001

Specialties & licenses 2

Addresses

Other names 1

• SPECIALTY PHYSICIANS NJ Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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.

• Emil Shakov, M.D.

  • Surgery Physician
  • Freehold, NJ
  • NPI 1790928521
  Medicare reassignment NPD Authorized official
• Rada Shakov, M.D.

  • Gastroenterology Physician
  • Freehold, NJ
  • NPI 1831308303
  Medicare reassignment NPD

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1841784360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD STE 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285305",
            "telephone_number": "732-845-5001",
            "fax_number": "732-358-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IRON BRIDGE RD STE 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285305",
            "telephone_number": "732-845-5001",
            "fax_number": "732-358-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHYSICIANS NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "SHAKOV",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-845-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALTY PHYSICIANS NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fiolakemi Sowemimo, MD
• Stefanie Spadafino, PAC
• Elanna Spano, LPC
• Nicole Spano, NURSE PRACTITIONER
• Speak Smart LLC
• Specialty Script Freehold LLC (Centrastate specialty script)
• Janet Spector, M.D.
• Spine & Sports Medicine of Freehold, LLC
• Spine and Sports Rehab Group of NJ
• Jessica T Spinelli, FNP-BC

• Clinic/Center in Freehold, NJ
• Providers in Freehold, 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 Sep 10, 2018; 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.