Individual provider Active NPI

Ilana Ariel Kipnis, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Englewood, NJ
National Provider Identifier
1164680799
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
60247634 Issued in NY
Practice address
88 Brownstone Way
Apt 112
Englewood, NJ 07631-1201
Phone
(914) 523-3198
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 60247634 NY Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB08442200 NJ

Addresses

Primary practice location

88 Brownstone Way
Apt 112
Englewood, NJ 07631-1201

Mailing address

88 Brownstone Way
Apt 112
Englewood, NJ 07631-1201

Other names 1

  • Ilana Ariel Bloch Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000636 NJ Practitioner - Anesthesiology 6204012362 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolute Perioperative Services LLCGroup PAC ID 9436546041, 19 clinicians

Practice addresses (Care Compare)

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (973) 294-6185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08442200NJMDPain Medicine (Anesthesiology) Physician
60247634NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leonid Lamper MD PC CurrentSince Mar 1, 2015 Accepting new patients
Resolute Perioperative Services LLC CurrentSince Mar 16, 2024 Accepting new patients
Bay Anesthesia LLC CurrentSince Dec 16, 2024 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC CurrentSince Feb 1, 2021 Accepting new patients
Pain Management Institute PA CurrentSince Jul 9, 2011 Accepting new patients

Locations

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1280 Randolph Rd
Ste 301
Plainfield, NJ 07060
Phone (626) 532-5879

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

336 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-4220

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

475 Prospect Ave
West Orange, NJ 07052
Phone (973) 325-6716

375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 5

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1164680799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BROWNSTONE WAY",
            "address_2": "APT 112",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BROWNSTONE WAY",
            "address_2": "APT 112",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311201",
            "telephone_number": "914-523-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPNIS",
        "first_name": "ILANA",
        "middle_name": "ARIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "60247634",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB08442200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILANA",
            "last_name": "BLOCH",
            "middle_name": "ARIEL",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.