Gary J Mascilak, PT is a
Physical Medicine & Rehabilitation based in Sparta, New Jersey. Gary J Mascilak is licensed to practice in New Jersey (license number 40QA00611400) and his current practice location is
540 Lafayette Rd Route 15 So, Suite B, Sparta, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 940-8680.
NPI number for Gary J Mascilak is 1881680742 and his current mailing address is 21 Lafayette Rd, Suite C, Sparta, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881680742.
Healthcare Provider's Profile
| Full Name | Gary J Mascilak |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 540 Lafayette Rd Route 15 So, Sparta, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881680742
- Provider Enumeration Date: 09/26/2005
- Last Update Date: 07/22/2010
Medical Identifiers
Medical identifiers for Gary J Mascilak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881680742 | NPI | - | NPPES |
| 8380406 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 38MC00455100 (New Jersey) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 40QA00611400 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary J Mascilak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gary J Mascilak, PT
21 Lafayette Rd, Suite C,
Sparta, NJ 07871
Ph: (973) 729-0291 | Gary J Mascilak, PT
540 Lafayette Rd Route 15 So, Suite B,
Sparta, NJ 07871
Ph: (973) 940-8680 |
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