YOUTH FOUNTAIN
NPI 1598190506
Surgery in Freehold, NJ

Q: What is The Youth Fountain's NPI number?

The NPI number for The Youth Fountain is 1598190506. It was assigned to this organization in the NPPES registry on September 9, 2013. The provider is doing business as Youth Fountain.

Q: What is The Youth Fountain's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 09, 2013

501 IRON BRIDGE RD, SUITE 9, FREEHOLD, NJ 07728(866) 514-0025(732) 358-0524 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Youth Fountain NPPES

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

YOUTH FOUNTAIN (NPI 1598190506) is a healthcare organization registered as a surgery in Freehold, New Jersey and active in the NPI registry since September 2013. The organization lists Emil Shakov, Owner, as its authorized official.

NPPES Registry Identity

NPI1598190506

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameTHE YOUTH FOUNTAIN

Location Address501 IRON BRIDGE RD, SUITE 9Freehold, NJ 07728-5304

Mailing Address501 Iron Bridge Rd, Suite 9Freehold, NJ 07728-5304 · (866) 514-0025 · Fax (732) 358-0524

Phone(866) 514-0025

Fax(732) 358-0524

Organization SubpartNo

Authorized OfficialEmil ShakovOwner · (866) 514-0025

Enumeration DateSeptember 9, 2013

Last NPPES UpdateNovember 25, 2014

✔ NPI 1598190506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

501 IRON BRIDGE RD, Freehold, NJ 07728

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Other Names 1

Doing Business AsYouth Fountain

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. JERRY KONG P.A.

Physician Assistant

501 IRON BRIDGE RD, SUITE 1
FREEHOLD, NJ 07728

Monmouth County (732) 720-2565

MS. BARBARA ANN SCARANO APN-BC

Nurse Practitioner (Family)

501 IRON BRIDGE RD
FREEHOLD, NJ 07728

Monmouth County (732) 761-1900

JOHN INAUEN

Counselor (Mental Health)

501 IRON BRIDGE RD
FREEHOLD, NJ 07728

Monmouth County (908) 910-8957

BACK, SEIGEL & GOLDSTEIN, MD , PA

Obstetrics & Gynecology

501 IRON BRIDGE RD, SUITE 4
FREEHOLD, NJ 07728

Monmouth County (732) 431-1807

MRS. COLBY DAFEREDE MSW, LSW

Social Worker

501 IRON BRIDGE RD, SUITE 15
FREEHOLD, NJ 07728

Monmouth County (732) 866-8611

MARK S KROLL MD

Specialist

501 IRON BRIDGE RD, SUITE 15
FREEHOLD, NJ 07728

Monmouth County (732) 780-0100

PRIMARY PHYSICAL THERAPY, LLC

Clinic/Center (Physical Therapy)

501 IRON BRIDGE RD, SUITE 7
FREEHOLD, NJ 07728

Monmouth County (732) 577-9696

APEX GASTROENTEROLOGY, LLC

Internal Medicine (Gastroenterology)

501 IRON BRIDGE RD, SUITE 9
FREEHOLD, NJ 07728

Monmouth County (732) 333-3747

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 The Youth Fountain's NPI number?

The NPI number for The Youth Fountain is 1598190506. It was assigned to this organization in the NPPES registry on September 9, 2013. The provider is doing business as Youth Fountain.

Where is The Youth Fountain located?

The Youth Fountain is located at 501 Iron Bridge Rd Suite 9, Freehold, NJ 07728. The listed phone number is (866) 514-0025.

What is The Youth Fountain's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for The Youth Fountain was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.