Doctor profile · Federal record
Dr. Jimmy Shak
Pediatric Dentist · Student in an Organized Health Care Education/Training Program · Old Bridge, NJ
- NPI 1285132530
- 8 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2455 Route 516 Fl 1
Old Bridge, NJ 088571892
(646) 203-6960 - Mailing address
-
8 Floral Terrace
Tenafly, NJ 07670
Credentials & registration
- NPI registered
- January 2018 — 8 yrs on file
- Profile last updated
- May 17, 2021
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- New Jersey #22DI02796200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285132530. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$113
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PATTERSON COMPANIES, INC. | 2 | $112.75 |
By nature of payment
Frequently asked questions
What is Dr. Jimmy Shak's medical specialty?
Dr. Jimmy Shak practices Pediatric Dentist in Old Bridge, NJ.
Where does Dr. Jimmy Shak practice?
Dr. Jimmy Shak practices at 2455 Route 516 Fl 1, Old Bridge, NJ 088571892. Office phone: 6462036960.
What is Dr. Jimmy Shak's NPI?
Dr. Jimmy Shak's National Provider Identifier (NPI) is 1285132530, issued by NPPES.