Provider Demographics
NPI:1972544815
Name:MAKAR, GAMIL LAMEY (MD)
Entity Type:Individual
Prefix:DR
First Name:GAMIL
Middle Name:LAMEY
Last Name:MAKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 ROUTE 3 WEST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013
Mailing Address - Country:US
Mailing Address - Phone:862-249-4901
Mailing Address - Fax:973-928-2650
Practice Address - Street 1:1700 ROUTE 3 WEST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013
Practice Address - Country:US
Practice Address - Phone:862-249-4901
Practice Address - Fax:973-928-2650
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07631500207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0024546Medicaid
8221833OtherGHI-PPO
2373594000OtherAMERIHEALTH-PPO
NJ60023390OtherHORIZON NJ HEALTH
NJ01000663401OtherAMERICHOICE
NJ2K7621OtherHEALTHNET
NJP3346585OtherOXFORD
P00183900OtherRR MEDICARE
2373594000OtherKEYSTONE HEALTHPLAN
355853OtherMANAGED HEALTH NETWORK
9751982OtherGHI-HMO
2367766000OtherAMERIHEALTH-HMO
7792567OtherAETNA
NJ01000663401OtherAMERICHOICE
2367766000OtherAMERIHEALTH-HMO
7792567OtherAETNA