BROOKE MACKS (PA-C) – Physician Assistant, NPI 1578030243
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for BROOKE MACKS (PA-C)
24, Mineral Springs Lane, Tinton Falls, Monmouth County, New Jersey, 07724, United States
TINTON FALLS, NJ 077244709
Phone: (908) 872-6099
Type: Mailing
1113 IRVING AVE
WESTFIELD, NJ 070901662
Phone: (908) 872-6099
Type: Mailing
240 E GROVE ST
WESTFIELD, NJ 070901687
Phone: (908) 232-6446
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,989.
Total Amount is formed as General ($1,989) + Research ($0) + Ownership ($0) = $1,989.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($485).
Total Amount
$1,989
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,989
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $485 |
| Incyte Corporation | $271 |
| GENZYME CORPORATION | $267 |
| Dermavant Sciences, Inc. | $208 |
| Arcutis Biotherapeutics, Inc. | $128 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190312000160 | I | Physician Assistant | NY | TBD |
| I20240515000815 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07724)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds) | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | NY | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ |
Reviews
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