Individual provider Active NPI

Katelyn Anne Zaneski, PA-C

  • Pain Medicine Physician
  • Clifton, NJ
National Provider Identifier
1164313292
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MP00938700 Issued in NJ
Practice address
50 Mount Prospect Ave Ste 203
Clifton, NJ 07013-1900
Phone
(862) 238-8250
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 25MP00938700 NJ Primary

Addresses

Primary practice location

50 Mount Prospect Ave Ste 203
Clifton, NJ 07013-1900

Mailing address

6 Stephen CT
New City, NY 10956-3621
Phone (631) 603-9444

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014003477 NJ Practitioner - Physician Assistant 3678060571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

50 Mount Prospect Ave
Suite 203
Clifton, NJ 07013-1987

PO Box
Suite 4222
Clifton, NJ 07012-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sood Medical Practice, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

50 Mount Prospect Ave
Ste 209
Clifton, NJ 07013
Phone (862) 238-8250

50 Mount Prospect Ave
Ste 203
Clifton, NJ 07013
Phone (862) 238-8250

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1164313292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STEPHEN CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563621",
            "telephone_number": "631-603-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE STE 203",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "862-238-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANESKI",
        "first_name": "KATELYN",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MP00938700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.