MARK DAROCKI (NPI# 1386062123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386062123 |
| Entity Type | Individual |
| Full Name | MARK DAROCKI |
| Practice Address |
425 Jack Martin Blvd Brick NJ 08724 |
| Mailing Address |
425 Jack Martin Blvd Brick NJ 08724-7732 |
| Practice Telephone | 7328403380 |
| Practice Fax Number | 7324583745 |
| Mailing Telephone | 7328403380 |
| Mailing Fax Number | 7324583745 |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MB10224700 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 W Arbor Dr # 8676, San Diego, CA 921031911 | 6195436463 | 6195433115 |
| Street Address |
425 JACK MARTIN BLVD |
| City | BRICK |
| State | NJ |
| Zip Code | 08724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686741 | Shore Radiation Oncology, LLC. | Radiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2005-06-02 |
| 1689299042 | Kerrianne Theresa Reuter | Registered Nurse | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-11 |
| 1679197933 | Pessy Kramer | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-02 |
| 1730701699 | Suneeta Kumari | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-14 |
| 1306468665 | Mary-catherine Skoulos | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
| 1073135323 | Alexander Rawji | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
| 1184245797 | Aneela Jafri | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-05 |
| 1285255513 | Sarah Nasir Aziz | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-28 |
| 1841810462 | Erica Ann Coffman | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-23 |
| 1770103871 | Jia Hong Chen | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134664170 | Scott King | Emergency Medicine | 458 17th Ave, Brick, NJ 08724-2647 | 2016-12-29 |
| 1952342958 | Gary L Noris | Emergency Medicine | Jack Martin Blvd, Ocean Medical Center, Brick, NJ 08724 | 2006-06-09 |
| 1922538297 | Gregory Philip Cassidy | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2017-06-19 |
| 1447607247 | Muhammad Owais Ali | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2016-05-21 |
| 1528455664 | Sandra Haroun | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2015-04-15 |
| 1922419167 | Michael Jason Kaufer | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2014-05-09 |
| 1134539109 | Audrey Sharp | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2014-04-30 |
| 1477811289 | Arti Mahendra Patel | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2012-04-30 |
| 1366736241 | Alexander Sarenac | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2011-06-08 |
| 1184915191 | Jeffrey G Schlogl | Emergency Medicine | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2011-04-25 |
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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.