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

Individual provider Family Medicine Physician · NPI 1417651696

Gavriel Shimonov, MD is a Family Medicine Physician in Jackson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2023.

Licensed in
NJ
In the registry since
2023
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

2290 W County Line Rd Ste 101
Jackson, NJ 08527-2156
Phone: (732) 645-9988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA12937200 (NJ)

Record details

NPI number1417651696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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