Karen F Kowalenko, D.O. LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB55235 Issued in NJ

Practice address

6 Aspen CT
Warren, NJ 07059-7165

Phone

(732) 563-9656

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: kkowalenko59115@epicdirect.rwjbh.org

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1043288582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ASPEN CT",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597165",
            "telephone_number": "732-563-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ASPEN CT",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597165",
            "telephone_number": "732-563-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALENKO",
        "first_name": "KAREN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.  LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB55235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080124312",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Kodrich-Gonzalez, LSW
• Kamilla Kogan, PHARM.D.
• Lori Kolodin, MS,RD
• Susan Korb, PNP
• Neha Kothari, MD
• Donna Marie Koward, MD
• Sarah Rachel Berg Kramer, M.D.
• Yisrael Kraus, P.T.
• Mark J Krawitz, M.D.
• Tracy Rochelle Krieger, DMD

• Family Medicine Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.