Active NPI
Natalia Ivanishina Keselman
- Specialist
- Manalapan, NJ
National Provider Identifier
1154206365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1920221251
- Practice address
- 15 Atrium Way
Manalapan, NJ 07726-5019 - Phone
- (929) 253-2113
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1920221251 | NY | Primary |
Addresses
Primary practice location
15 Atrium Way
Manalapan, NJ 07726-5019
Mailing address
15 Atrium Way
Manalapan, NJ 07726-5019
Phone (929) 253-2113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1920221251 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1154206365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ATRIUM WAY",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077265019",
"telephone_number": "929-253-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ATRIUM WAY",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077265019",
"telephone_number": "929-253-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVANISHINA KESELMAN",
"first_name": "NATALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1920221251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.