Individual provider Active NPI

Charles B. Daknis, M.D.

  • Specialist
  • Wall Township, NJ
National Provider Identifier
1891753604
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 68160 Issued in NJ
Practice address
1967 Rte 34 Ste 102
Wall Township, NJ 07719-9738
Phone
(732) 345-1180
Fax
(732) 530-4476
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA06816000 NJ
Specialist 174400000X MA 68160 NJ Primary

Addresses

Primary practice location

1967 Rte 34 Ste 102
Wall Township, NJ 07719-9738

Mailing address

1967 Rte 34 Ste 102
Wall Township, NJ 07719-9738
Phone (732) 345-1180

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
I20040811001105 NJ Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 7517939309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Hahnemann University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaview Orthopaedics and Medical Associates LLPGroup PAC ID 7810983210, 97 clinicians

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 68160NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Aug 1, 2017 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Aug 1, 2017 Accepting new patients

Locations

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Ste 203
Brick, NJ 08724
Phone (732) 458-7777

222 Schanck Rd
Ste 300
Freehold, NJ 07728
Phone (732) 431-2883

2139 State Route 35
Ste 140
Holmdel, NJ 07733
Phone (732) 897-4800

1200 Eagle Ave
Ocean, NJ 07712

1200 Eagle Ave
Ste 100
Ocean, NJ 07712

Interoperability endpoints

  • Direct secure messaging: charles.daknis@svo.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1891753604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 RTE 34 STE 102",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199738",
            "telephone_number": "732-345-1180",
            "fax_number": "732-530-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 RTE 34 STE 102",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199738",
            "telephone_number": "732-345-1180",
            "fax_number": "732-530-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKNIS",
        "first_name": "CHARLES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA06816000",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 68160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.