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Active NPI 1548756786 Organization (Entity Type 2)

David Shaker Do Llc

Clinic/Center • Hackensack, NJ

About David Shaker Do Llc NPI 1548756786 Summary

David Shaker Do Llc is a verified healthcare organization specializing in Clinic/Center operating in Hackensack, NJ. Located at 38 SUMMIT AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1548756786.

Administrative operations and authorized compliance are overseen by David Shaker (Owner).

The facility is associated with 4 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

38 Summit Ave

Hackensack, NJ 076011263

Telephone 2013436360

Authorized Official Information

Authorized Contact Name

David Shaker , DO

Title / Role

Owner

Official Telephone

2013436360

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked
Safwat Shaker NPI 1144246042

Internal Medicine

Hackensack, NJ

View Practitioner Profile →

Internal Medicine

Hackensack, NJ

View Practitioner Profile →
Dr. Mina Shaker , MD NPI 1770977852

Internal Medicine

Hackensack, NJ

View Practitioner Profile →

Internal Medicine - Addiction Medicine

Hackensack, NJ

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Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 10, 2018

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2018

Registered at 38 SUMMIT AVE, HACKENSACK, NJ 076011263 (Tel: 2013436360)

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Updated Business Mailing Address July 10, 2018

Registered at 38 SUMMIT AVE, HACKENSACK, NJ 076011263 (Tel: 2013436360)

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Organization / Clinic Name Updated July 10, 2018

Operating as DAVID SHAKER DO LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2018

Clinic/Center (License #25BM10243200 in NJ)

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Initial NPI Registration & Enumeration July 10, 2018

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1548756786
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 10, 2018
Last Update: July 10, 2018

Mailing Address

38 Summit Ave

Hackensack, NJ 076011263

Phone: 2013436360

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.