NPIMap

Individual provider Active NPI

Jack Shakarshy, MD

  • Diagnostic Radiology Physician
  • Galloway, NJ
National Provider Identifier
1851304299
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05304500 Issued in NJ
Practice address
72 W Jimmie Leeds Rd
Suite 1100
Galloway, NJ 08205-9406
Phone
(609) 677-9729
Fax
(609) 652-7153
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA05304500 NJ Primary

Addresses

Primary practice location

72 W Jimmie Leeds Rd
Suite 1100
Galloway, NJ 08205-9406

Mailing address

72 W Jimmie Leeds Rd
Suite 1100
Galloway, NJ 08205-9406
Phone (609) 677-9729

Other practice location 1

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other identifiers 4

IdentifierTypeStateIssuer
P00758322OtherNJRAILROAD MEDICARE
P00847825OtherNJRAILROAD MEDICARE
300081010OtherNJRAILROAD MEDICARE
5002907MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MT, WA, IA, TX6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20050718000597 NJ Practitioner - Diagnostic Radiology 7618904020 Reassigns benefits to 10 organizations
I20230612000144 NY Practitioner - Diagnostic Radiology 7618904020 Reassigns benefits to 1 organization
I20250923002085 MT Practitioner - Diagnostic Radiology 7618904020 Reassigns benefits to 2 organizations
I20250926004504 WA Practitioner - Diagnostic Radiology 7618904020 Reassigns benefits to 1 organization
I20251003002829 IA Practitioner - Diagnostic Radiology 7618904020 Reassigns benefits to 2 organizations
I20260628000029 TX Practitioner - Diagnostic Radiology 7618904020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians

Practice addresses (Care Compare)

17 Wildlife Run
New Vernon, NJ 07976-9720
Phone (952) 595-1100

3 Crossing Dr
Linwood, NJ 08221-1943
Phone (952) 595-1301

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3480

7904 Bayshore Dr
Margate City, NJ 08402-1806
Phone (866) 722-1655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Sep 29, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 1, 2023 Accepting new patients
Pacific County Hospital District 2 Current Accepting new patients
Sidney Health Center CurrentSince Jul 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Rochester General Hospital CurrentSince Nov 3, 2025 Accepting new patients
Rochester General Hospital CurrentSince Nov 3, 2025 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince May 18, 2025 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Central Montana Medical Facilities, Inc CurrentSince Jul 10, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Sidney Health Center CurrentSince Jul 1, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jul 1, 2023 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Feb 15, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 3, 2025 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Nov 24, 2025 Accepting new patients
Arkansas Valley Regional Medical Center Past Accepting new patients
Central Montana Medical Facilities, Inc. Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
Atlantic Radiologist PA Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500

408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

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

100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123

1307 White Horse Rd
Ste A102
Voorhees, NJ 08043
Phone (856) 374-4031

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1851304299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W JIMMIE LEEDS RD",
            "address_2": "SUITE 1100",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059406",
            "telephone_number": "609-677-9729",
            "fax_number": "609-652-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W JIMMIE LEEDS RD",
            "address_2": "SUITE 1100",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059406",
            "telephone_number": "609-677-9729",
            "fax_number": "609-652-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKARSHY",
        "first_name": "JACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05304500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00758322",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00847825",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300081010",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5002907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.