Elisheva Privalsky

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06232148 Issued in NJ

Practice address

1201 River Ave Unit 10
Lakewood, NJ 08701-5676

Phone

(732) 775-0222

Fax

(732) 775-0224

NPI assigned

Aug 21, 2024

Last updated

Aug 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woundworks LLCGroup PAC ID 2961894894, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eprivalsky@kpp-nj.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Woundworks LLC

  • Nurse Practitioner
  • Lakewood, NJ
  • NPI 1093303273
  Medicare reassignment Care Compare group NPD
• Kinder Pediatrics, P.C.

  • Pediatrics Physician
  • Lakewood, NJ
  • NPI 1396145041
  NPD (past)

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1023841483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 HWY 33 STE 3",
            "address_2": "UNIT # 130",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-908-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RIVER AVE UNIT 10",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015676",
            "telephone_number": "732-775-0222",
            "fax_number": "732-775-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 HWY 33 STE 3",
            "address_2": "Unit # 130",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "07728",
            "country_code": "US",
            "telephone_number": "732-908-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIVALSKY",
        "first_name": "ELISHEVA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "F06232148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "F06232148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Health Services
• Prime Rehabilitation Services, Inc
• Primetime Cardi PC
• Primetime Cardio PC
• Primetime Im, PC
• Christina Proctor
• Professional Physician Practitioners LLC
• Professional Speech & Occupational Therapy LLC
• Professional Speech Services LLC
• Progressive Applied Behavioral Treatment (Connect Plus Therapy)

• Family Nurse Practitioner in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.