Dr. Edward C Shadiack Jr., DO
Family Medicine in Seaside Park, New Jersey
1245339779- Practice location
- 1200 NE Central Ave # 02, Seaside Park, NJ 08752-1306
- Phone
- 732-830-4884
- Fax
- —
- Last updated
- July 8, 2007
Edward Charles Shadiack is a Family Medicine based in Seaside Park, NJ. Edward Charles Shadiack practices in Seaside Park, NJ and has the professional credentials of DO. The NPI Number for Edward Charles Shadiack is 1245339779 and holds a License No. MB41240 (NJ). The current practice location address for Edward Charles Shadiack is 1200 NE Central Ave # 02, Seaside Park, NJ 08752-1306 and can be reached out via phone at 732-830-4884.
Provider Profile Details
- NPI Number
- 1245339779
- Provider Name
- Edward Charles Shadiack
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1200 NE Central Ave # 02, Seaside Park, NJ 08752-1306
- Phone Number
- 732-830-4884
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 21, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 NE Central Ave # 02
Seaside Park, NJ 08752-1306 - City
- Seaside Park
- State
- New Jersey
- Zip
- 08752-1306
- Phone Number
- 732-830-4884
Provider Business Mailing Address Details
- Address
- 1200 NE Central Ave # 02
Seaside Park, NJ 08752-1306 - City
- Seaside Park
- State
- NJ
- Zip
- 08752-1306
- Phone Number
- 732-830-4884
License Information
- License Number
- MB41240
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Edward C Shadiack Jr., DO?
The NPI number of Dr. Edward C Shadiack Jr., DO is 1245339779. It was assigned on September 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Edward C Shadiack Jr., DO?
Dr. Edward C Shadiack Jr., DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MB41240.
Where does Dr. Edward C Shadiack Jr., DO practice?
The practice location is 1200 NE Central Ave # 02, Seaside Park, NJ 08752-1306. The office can be reached at 732-830-4884 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245339779 directly on the NPPES registry website.