JAN B. WOLLACK MD, PHD
NPI 1447345608
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Neptune, NJ

Active since October 04, 2006PECOS Enrolled
19 DAVIS AVE, NEPTUNE, NJ 07753(732) 776-4551(732) 776-4392 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jan B. Wollack Md, Phd NPPES

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

JAN B. WOLLACK MD, PHD (NPI 1447345608) is an individual neurology with special qualifications in child neurology provider in Neptune, New Jersey, licensed in New Jersey (25MA070475) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447345608
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameJAN B. WOLLACKCredential: MD, PHD
Location Address19 DAVIS AVENeptune, NJ 07753-4488
Mailing Address1 Medical Center Dr, Child NeurologyLebanon, NH 03756-1000 · (603) 653-9669 · Fax (603) 653-9669
Fax(732) 776-4392
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 20, 2019
✔ NPI 1447345608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in NJ · 25MA070475✔ Licensed in NH · 17288
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
19 DAVIS AVE, Neptune, NJ 07753

Other Identifiers 1

Medicaid8155003NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jan B. Wollack Md, Phd 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jan Wollack reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
Psychiatric Hospital
218 EAST RD
Hampstead, NH 03841
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

Clinical Neuropsychologist
19 DAVIS AVE
NEPTUNE, NJ 07753
Integrative Medicine
19 DAVIS AVE, FL 1
NEPTUNE, NJ 07753
Psychiatry & Neurology (Psychiatry)
19 DAVIS AVE
NEPTUNE, NJ 07753
Pediatrics (Pediatric Allergy/Immunology)
19 DAVIS AVE
NEPTUNE, NJ 07753
Acupuncturist
19 DAVIS AVE
NEPTUNE, NJ 07753
Dietitian, Registered
19 DAVIS AVE, FL 5
NEPTUNE, NJ 07753
Physician Assistant
19 DAVIS AVE
NEPTUNE, NJ 07753
Registered Nurse (Oncology)
19 DAVIS AVE
NEPTUNE CITY, NJ 07753

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 Jan Wollack's NPI number?

The NPI number for Jan Wollack is 1447345608. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jan Wollack located?

Jan Wollack practices at 19 Davis Ave, Neptune, NJ 07753. The listed phone number is (732) 776-4551.

What is Jan Wollack's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Jan Wollack enrolled in Medicare?

Yes. Jan Wollack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jan Wollack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jan Wollack reassigns Medicare benefits to 4 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Dartmouth-Hitchcock Clinic (Keene, NH) and Mary Hitchcock Memorial Hospital (Hampstead, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jan Wollack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jan Wollack accept?

Health plans from Oscar Health and Taro Health list Jan Wollack 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 Jan Wollack was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.