Provider Demographics
NPI:1295739571
Name:SHUMKO, JOHN ZACHARY (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ZACHARY
Last Name:SHUMKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:40 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2431
Mailing Address - Country:US
Mailing Address - Phone:973-635-0800
Mailing Address - Fax:973-635-3137
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2431
Practice Address - Country:US
Practice Address - Phone:973-635-0800
Practice Address - Fax:973-635-3137
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA60908208100000X
NJ25MA060908002084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25633OtherUNIVERSITY
NJ2286109OtherAETNA
NJ29Z66OtherWELLCHOICE EMPIRE BCBS
NJIK5138OtherHEALTHNET
NJ173947804OtherUNITED HEALTHCARE
NJP2073489OtherOXFORD
NJ0582814001OtherCIGNA
NJ0729662000OtherAMERIHEALTH
NJ29Z66OtherWELLCHOICE EMPIRE BCBS
NJ034004NTLMedicare Oscar/Certification