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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: July 26, 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
Phone(732) 776-4551
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
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Other Identifiers 1

Medicaid8155003NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jan B. Wollack Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

RUCHI SHAH MHS, PA-C
Physician Assistant
19 DAVIS AVE
NEPTUNE, NJ 07753
Monmouth County (732) 212-6598
HALEY FRATI PA
Physician Assistant
19 DAVIS AVE
NEPTUNE, NJ 07753
Monmouth County (302) 521-9884
DR. CARMELITA MABANTA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
19 DAVIS AVE
NEPTUNE, NJ 07753
Monmouth County (732) 776-4524
KRISTINA MARIE DAUERNHEIM PA-C
Physician Assistant (Surgical)
19 DAVIS AVE, 4TH FLOOR HOPE TOWER
NEPTUNE, NJ 07753
Monmouth County (732) 974-0003
KERRY A SHEEHAN MD
Internal Medicine (Hospice and Palliative Medicine)
19 DAVIS AVE
NEPTUNE, NJ 07753
Monmouth County (732) 776-4551
AMANDA BASZAK APN
Nurse Practitioner
19 DAVIS AVE
NEPTUNE, NJ 07753
Monmouth County (732) 897-3530
MS. ANGELICA MARIE ZIMNY FNP-C
Internal Medicine (Medical Oncology)
19 DAVIS AVE
NEPTUNE CITY, NJ 07753
Monmouth County (732) 710-2643
DR. MUFTIYA ISSA ND, MSAOM, LAC
Acupuncturist
19 DAVIS AVE
NEPTUNE, NJ 07753
Monmouth County (732) 263-7999

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.

When was this NPI record last updated?

The NPPES record for Jan Wollack was last updated on November 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.