Individual provider Active NPI

Kateryna Kolesnikova, MD

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
National Provider Identifier
1023513678
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA11525400 Issued in NJ
Practice address
211 Essex St Ste 402
Hackensack, NJ 07601-3246
Phone
(201) 301-2772
Fax
(551) 313-8274
NPI assigned
Mar 27, 2018
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA11525400 NJ Primary

Addresses

Primary practice location

211 Essex St Ste 402
Hackensack, NJ 07601-3246

Mailing address

211 Essex St Ste 402
Hackensack, NJ 07601-3246
Phone (201) 301-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003596 NJ Practitioner - Obstetrics/Gynecology 6002297314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Women's Pelvic Surgery of North Jersey, LLCGroup PAC ID 9032389796, 3 clinicians

Practice addresses (Care Compare)

211 Essex St
Suite 402
Hackensack, NJ 07601-3246
Phone (201) 301-2772

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11525400NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Pelvic Surgery of North Jersey, LLC CurrentSince Jul 15, 2022 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Sep 16, 2023 Accepting new patients
DHP of Princeton, PA Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients

Locations

211 Essex St
Ste 402
Hackensack, NJ 07601
Phone (201) 301-2772

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1023513678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 402",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013246",
            "telephone_number": "201-301-2772",
            "fax_number": "551-313-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 402",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013246",
            "telephone_number": "201-301-2772",
            "fax_number": "551-313-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESNIKOVA",
        "first_name": "KATERYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11525400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.