Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Emil Shakov, MD

Individual provider Surgery Physician · NPI 1790928521

Dr. Emil Shakov, MD is a General Surgery in Freehold, New Jersey. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
22
Licensed in
NJ
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 Iron Bridge Rd Ste 9
Freehold, NJ 07728-5304
Phone: (732) 845-5001
Fax: (732) 358-0524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA08547700 (NJ)

Record details

NPI number1790928521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2009
Last updated in NPPESApril 17, 2015
Mailing address501 Iron Bridge Rd, Suite 9, Freehold, NJ 07728-5304

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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