Natalya Kishkareva, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08320800 Issued in NJ

Practice address

18 Somerset Rd
Norwood, NJ 07648-1912

Phone

(732) 996-5438

Fax

(201) 750-0957

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Revived Soul Medical PC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1821389941
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1144248311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SOMERSET RD",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481912",
            "telephone_number": "732-996-5438",
            "fax_number": "201-750-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SOMERSET RD",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481912",
            "telephone_number": "732-996-5438",
            "fax_number": "201-750-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHKAREVA",
        "first_name": "NATALYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218070",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08320800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JG Medical Services LLC
• Jill Jonas, LCSW
• K&J Pharmacy LLC
• Wayne Jared Kerness, M.D.
• Malsun Kim
• Alison Ku
• LC Medical Care LLC
• Jeong Eun Lee, ACUPUNCTURIST
• John Raymond Lynch, D.M.D.
• Barbara Jane Maciver, M.D.

• Psychiatry Physician in Norwood, NJ
• Providers in Norwood, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.