Active NPI
Gregory Scott Charak, M.D.
- Colon & Rectal Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 52559
- Practice address
- 177 Ft Washingtn Ave
7TH Floor G.S. #313
New York, NY 10032-3733 - Phone
- (212) 305-3038
- Fax
- (212) 305-8321
- NPI assigned
- Apr 12, 2012
- Last updated
- Jul 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 52559 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
177 Ft Washingtn Ave
7TH Floor G.S. #313
New York, NY 10032-3733
Mailing address
177 Ft Washingtn Ave
7TH Floor G.S. #313
New York, NY 10032-3733
Phone (212) 305-3038
Other practice location 1
125 E Maxwell Ste 302
Lexington, KY 40536-2678
Phone (859) 218-2774
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Prospect Ave
Hackensack, NJ 07601-1997
Phone (551) 996-5045
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816
20 Prospect Ave
Ste 709
Hackensack, NJ 07601
Phone (201) 678-0300
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
360 Essex St
Ste 303
Hackensack, NJ 07601
Phone (551) 996-8100
5 Marine View Plz
Hoboken, NJ 07030
Phone (201) 683-8058
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
7650 River Rd
Ste 300
North Bergen, NJ 07047
Phone (201) 224-8831
Interoperability endpoints
- gcharak25887@ukhcdirect.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
-
dba Palisades Medical Center
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- North Bergen, NJ
- NPI 1952028532
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1861759185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 FT WASHINGTN AVE",
"address_2": "7TH FLOOR G.S. #313",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323733",
"telephone_number": "212-305-3038",
"fax_number": "212-305-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 FT WASHINGTN AVE",
"address_2": "7TH FLOOR G.S. #313",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323733",
"telephone_number": "212-305-3038",
"fax_number": "212-305-8321"
}
],
"practiceLocations": [
{
"address_1": "125 E Maxwell Ste 302",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405362678",
"country_code": "US",
"telephone_number": "859-218-2774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARAK",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "KY",
"license": "52559",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.