Gavriel Shimonov, MD
NPI 1417651696ActiveIndividual· Family Medicine· Jackson, NJ
Family Medicine (MD) with Lakewood Medical Associates, practicing in Jackson, New Jersey. Part D covered 174 prescriptions written in 2024, 81% of them generic.
Overview
| NPI | 1417651696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 29, 2023 |
| Last updated in NPPES | Aug 6, 2026 |
| Certified by provider | Aug 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MA12937200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NJ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 174 · 322 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $32,502 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Lakewood Medical AssociatesJackson, NJ · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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