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JONATHAN DECK DO
NPI 1255063178
Student in an Organized Health Care Education/Training Program in Freehold, NJ

Active since June 29, 2022PECOS Enrolled
597 PARK AVE STE B, FREEHOLD, NJ 07728(732) 294-2540 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Deck Do NPPES

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

JONATHAN DECK DO (NPI 1255063178) is an individual student in an organized health care education/training program in Freehold, New Jersey and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255063178
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN DECKCredential: DO
Location Address597 PARK AVE STE BFreehold, NJ 07728-2590
Mailing Address597 Park Ave Ste BFreehold, NJ 07728-2590 · (732) 294-2540
Phone(732) 294-2540
Sole ProprietorYes
Enumeration DateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1255063178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
597 PARK AVE STE B, Freehold, NJ 07728
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Deck Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVANA HENIN MD
Student in an Organized Health Care Education/Training Program
597 PARK AVE STE B
FREEHOLD, NJ 07728
Monmouth County (732) 294-2540
JAGTAR SEKHON MD
Student in an Organized Health Care Education/Training Program
597 PARK AVE STE B
FREEHOLD, NJ 07728
Monmouth County (732) 294-2540
CHRISTINA SHEEDY MD
Student in an Organized Health Care Education/Training Program
597 PARK AVE STE B
FREEHOLD, NJ 07728
Monmouth County (732) 294-2540
RYAN ROSHAN NARAIN MD
Hospitalist
597 PARK AVE STE B
FREEHOLD, NJ 07728
Monmouth County (732) 294-2540
VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, COMMUNITY HEALTH CENTER,
Clinic/Center (Federally Qualified Health Center (FQHC))
597 PARK AVE STE B
FREEHOLD, NJ 07728
Monmouth County (732) 294-2540
AIDA ELIZA BINTE ABDUL MAJID MD
Student in an Organized Health Care Education/Training Program
597 PARK AVE STE B
FREEHOLD, NJ 07728
Monmouth County (732) 294-2540
TEJINDER KAUR MD
Student in an Organized Health Care Education/Training Program
597 PARK AVE STE B
FREEHOLD, NJ 07728
Monmouth County (732) 294-2540

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 Jonathan Deck's NPI number?

The NPI number for Jonathan Deck is 1255063178. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Jonathan Deck located?

Jonathan Deck practices at 597 Park Ave Ste B, Freehold, NJ 07728. The listed phone number is (732) 294-2540.

What is Jonathan Deck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Deck enrolled in Medicare?

Yes. Jonathan Deck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Deck was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.