Jimmy Shak
Dentist, Pediatric Dentistry in Old Bridge, New Jersey
1285132530- Practice location
- 2455 Route 516 Fl 1, Old Bridge, NJ 08857-1892
- Phone
- 646-203-6960
- Fax
- —
- Last updated
- May 17, 2021
Jimmy Shak is a Dentist, Pediatric Dentistry based in Old Bridge, NJ. Jimmy Shak practices in Old Bridge, NJ. The NPI Number for Jimmy Shak is 1285132530 and holds a License No. 22DI02796200 (NJ). The current practice location address for Jimmy Shak is 2455 Route 516 Fl 1, Old Bridge, NJ 08857-1892 and can be reached out via phone at 646-203-6960.
Provider Profile Details
- NPI Number
- 1285132530
- Provider Name
- Jimmy Shak
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2455 Route 516 Fl 1, Old Bridge, NJ 08857-1892
- Phone Number
- 646-203-6960
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 31, 2018
- Last Update Date
- May 17, 2021
- Certification Date
- April 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2455 Route 516 Fl 1
Old Bridge, NJ 08857-1892 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-1892
- Phone Number
- 646-203-6960
Provider Business Mailing Address Details
- Address
- 8 Floral Terrace
Tenafly, NJ 07670 - City
- Tenafly
- State
- NJ
- Zip
- 07670
- Phone Number
- 646-203-6960
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02796200
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Old Bridge, NJ
View all Dentist, Pediatric Dentistry providers in Old Bridge →- Cavan M Brunsden, DMDDentist, Pediatric Dentistry · NPI 1629192174
- Dr. Afreen Hoque, DDSDentist, Pediatric Dentistry · NPI 1891040598
- Dr. Sathish Iyer, DDSDentist, Pediatric Dentistry · NPI 1740491471
- Hillary R Khodari, DMDDentist, Pediatric Dentistry · NPI 1215328513
- Ilona Aleksandrovich, DDSDentist, Pediatric Dentistry · NPI 1104481274
- Justin S Dinowitz, DMDDentist, Pediatric Dentistry · NPI 1912521865
Frequently Asked Questions
What is the NPI number of Jimmy Shak?
The NPI number of Jimmy Shak is 1285132530. It was assigned on January 31, 2018 and is currently active in the NPPES registry.
What is the specialty of Jimmy Shak?
Jimmy Shak is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02796200.
Where does Jimmy Shak practice?
The practice location is 2455 Route 516 Fl 1, Old Bridge, NJ 08857-1892. The office can be reached at 646-203-6960 (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 1285132530 directly on the NPPES registry website.