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JIMMY SHAK
NPI 1285132530
Dentist - Pediatric Dentistry in Old Bridge, NJ

Active since January 31, 2018
2455 ROUTE 516 FL 1, OLD BRIDGE, NJ 08857(646) 203-6960 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy Shak NPPES

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

JIMMY SHAK (NPI 1285132530) is an individual pediatric dentistry provider in Old Bridge, New Jersey, licensed in New Jersey (22DI02796200) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1285132530
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJIMMY SHAK
Location Address2455 ROUTE 516 FL 1Old Bridge, NJ 08857-1892
Mailing Address8 Floral TerraceTenafly, NJ 07670 · (646) 203-6960
Phone(646) 203-6960
Sole ProprietorYes
Enumeration DateJanuary 31, 2018
Last NPPES UpdateMay 17, 2021
NPPES CertifiedApril 27, 2021
✔ NPI 1285132530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NJ · 22DI02796200
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2455 ROUTE 516 FL 1, Old Bridge, NJ 08857
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

ILONA ALEKSANDROVICH DDS
Dentist (Pediatric Dentistry)
2455 ROUTE 516 FL 1
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-2323
JUSTIN SHANE DINOWITZ DMD
Dentist (Pediatric Dentistry)
2455 ROUTE 516 FL 1
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-2323

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 Jimmy Shak's NPI number?

The NPI number for Jimmy Shak is 1285132530. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Jimmy Shak located?

Jimmy Shak practices at 2455 Route 516 Fl 1, Old Bridge, NJ 08857. The listed phone number is (646) 203-6960.

What is Jimmy Shak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jimmy Shak accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jimmy Shak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jimmy Shak was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.