JEFFREY PAUL TAKACH (NPI# 1285684670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285684670 |
| Entity Type | Individual |
| Full Name | JEFFREY PAUL TAKACH |
| Credential | PA-C |
| Practice Address |
2 Center Plz Tinton Falls NJ 07724-9744 |
| Mailing Address |
411 S Riverside Dr Neptune NJ 07753-5840 |
| Practice Telephone | 7324605360 |
| Practice Fax Number | 7324607442 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00026700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 CENTER PLZ |
| City | TINTON FALLS |
| State | NJ |
| Zip Code | 07724-9744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446324 | Mmc Encompass Health Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2006-02-16 |
| 1104385947 | Jeffrey Paul Licata | Physician Assistant | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2019-03-19 |
| 1861903940 | Rozman Medical Rehabilitation Inc | Physical Medicine & Rehabilitation | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2017-10-17 |
| 1124574637 | Sunsil Asnani, M.d. LLC | Specialist | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2016-08-26 |
| 1386665586 | Anatoly Rozman | Physical Medicine & Rehabilitation | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2006-07-22 |
| 1639109887 | Mid Atlantic Rehabilitation Consultants, LLC | Physical Medicine & Rehabilitation | 2 Center Plz, Medical Suite, Tinton Falls, NJ 07724-9744 | 2006-07-04 |
| 1679520480 | Central Jersey Rehabilitation Medicine, LLC | Physical Medicine & Rehabilitation | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2006-05-27 |
| 1508816679 | Priscila N Gonzalez | Physical Medicine & Rehabilitation | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2006-05-11 |
| 1912957895 | Edgardo Baerga | Physical Medicine & Rehabilitation | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2006-05-11 |
| 1053378935 | Todd J. Cooperman | Physical Medicine & Rehabilitation | 2 Center Plz, Tinton Falls, NJ 07724-9744 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005344 | Christine Lam | Physician Assistant | 23 Palomino Pl, Tinton Falls, NJ 07701-4925 | 2020-02-20 |
| 1578030243 | Brooke S Weiss | Physician Assistant | 24 Mineral Springs Ln, Tinton Falls, NJ 07724-4709 | 2018-10-30 |
| 1881861623 | Amber Smerina | Physician Assistant | 7 Zachary Way, Tinton Falls, NJ 07724-2465 | 2008-05-12 |
| 1548756182 | Kelly Lynn Leddy | Physician Assistant | 776 Shrewsbury Ave Ste 201, Tinton Falls, NJ 07724-4507 | 2018-07-06 |
| 1497207278 | Brielle Myers | Physician Assistant | 35 S Gilbert St, Tinton Falls, NJ 07701-4954 | 2016-10-27 |
| 1366648966 | Sue Ellen Mcneil | Physician Assistant | 776 Shrewsbury Ave Ste 201, Tinton Falls, NJ 07724-4507 | 2007-06-21 |
| 1609078344 | Lauren Franco Lucas | Physician Assistant | 4000 State Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-06-04 |
| 1417063173 | Kristin K. Carr | Physician Assistant | 4057 Asbury Ave, Tinton Falls, NJ 07753-7700 | 2006-08-22 |
| 1629021191 | Kevin P Ruscio | Physician Assistant | 776 Shrewsbury Ave, Tinton Falls, NJ 07724-3006 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | TINTON FALLS |
| Zip Code | 07724 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.