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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GAVRIEL SHIMONOV MD
NPI 1417651696
Family Medicine in Jackson, NJ

Active since March 29, 2023PECOS Enrolled
2290 W COUNTY LINE RD STE 101, JACKSON, NJ 08527(732) 645-9988 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Mar 29, 2023 (2 updates tracked since 2023).

About Gavriel Shimonov Md NPPES

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

GAVRIEL SHIMONOV MD (NPI 1417651696) is an individual family medicine provider in Jackson, New Jersey, licensed in New Jersey (25MA12937200) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417651696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGAVRIEL SHIMONOVCredential: MD
Location Address2290 W COUNTY LINE RD STE 101Jackson, NJ 08527-2156
Mailing Address2290 W County Line Rd Ste 101Jackson, NJ 08527-2156 · (732) 645-9988
Phone(732) 645-9988
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1417651696 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 · 25MA12937200
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.
2290 W COUNTY LINE RD STE 101, Jackson, NJ 08527
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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)

Gavriel Shimonov Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08527 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 Gavriel Shimonov's NPI number?

The NPI number for Gavriel Shimonov is 1417651696. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Gavriel Shimonov located?

Gavriel Shimonov practices at 2290 W County Line Rd Ste 101, Jackson, NJ 08527. The listed phone number is (732) 645-9988.

What is Gavriel Shimonov's specialty?

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

Is Gavriel Shimonov enrolled in Medicare?

Yes. Gavriel Shimonov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gavriel Shimonov was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.