DR. EDWARD CHARLES SHADIACK JR. D.O.
NPI 1245339779
Family Medicine in Seaside Park, NJ

Q: What is Edward Shadiack's NPI number?

The NPI number for Edward Shadiack is 1245339779. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Edward Shadiack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Edward Shadiack enrolled in Medicare?

No. Edward Shadiack has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Edward Shadiack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2006Opted out of Medicare · through Apr 1, 2027

1200 NE CENTRAL AVE # 02, SEASIDE PARK, NJ 08752(732) 830-4884 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Edward Charles Shadiack Jr. D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD CHARLES SHADIACK JR. D.O. (NPI 1245339779) is an individual family medicine provider in Seaside Park, New Jersey, licensed in New Jersey (MB41240) and active in the NPI registry since September 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245339779

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EDWARD CHARLES SHADIACK JR.Credential: D.O.

Location Address1200 NE CENTRAL AVE # 02Seaside Park, NJ 08752-1306

Mailing Address1200 Ne Central Ave # 02Seaside Park, NJ 08752-1306 · (732) 830-4884

Phone(732) 830-4884

Sole ProprietorYes

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245339779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · MB41240

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1200 NE CENTRAL AVE # 02, Seaside Park, NJ 08752

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Edward Charles Shadiack Jr. D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2005 through April 1, 2027.

Opt-Out Effective DateApril 1, 2005

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Shadiack's NPI number?

The NPI number for Edward Shadiack is 1245339779. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Edward Shadiack located?

Edward Shadiack practices at 1200 NE Central Ave # 02, Seaside Park, NJ 08752. The listed phone number is (732) 830-4884.

What is Edward Shadiack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Shadiack enrolled in Medicare?

No. Edward Shadiack has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edward Shadiack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.