Jack Shakarshy, MD | |
72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 | |
(609) 677-9729 | |
(609) 652-7153 |
Full Name | Jack Shakarshy |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 72 W Jimmie Leeds Rd, Galloway, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851304299 | NPI | - | NPPES |
P00758322 | Other | NJ | RAILROAD MEDICARE |
P00847825 | Other | NJ | RAILROAD MEDICARE |
300081010 | Other | NJ | RAILROAD MEDICARE |
5002907 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25MA05304500 (New Jersey) | Primary |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Mailing Address | Practice Location Address |
---|---|
Jack Shakarshy, MD 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 Ph: (609) 677-9729 | Jack Shakarshy, MD 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 Ph: (609) 677-9729 |
Richard Lawrence Olaughlin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 72 W Jimmie Leeds Rd, Ste.1100, Galloway, NJ 08205 Phone: 609-677-9729 | |
Dr. Amy F Austin, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 44 E Jimmie Leeds Rd, Ste 101, Galloway, NJ 08205 Phone: 609-677-9729 Fax: 609-652-6512 | |
Melissa J. Graule, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205 Phone: 609-677-9729 | |
Dr. Micah M Watts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205 Phone: 609-677-9729 | |
Robert Joseph Graziano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205 Phone: 609-677-9729 Fax: 609-652-6270 | |
Sunita Nankoo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205 Phone: 609-652-7349 | |
Kavita R Peshori, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 44 E Jimmie Leeds Rd, Ste 101, Galloway, NJ 08205 Phone: 609-677-9729 |