Individual provider Active NPI

Ilija Karafiloski, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1194403121
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14872700 Issued in NJ
Practice address
18-20 Lackawanna PLZ Ste 300
Montclair, NJ 07042-3642
Phone
(855) 444-7258
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14872700 NJ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F406548-01 NY

Addresses

Primary practice location

18-20 Lackawanna PLZ Ste 300
Montclair, NJ 07042-3642

Mailing address

22 Katie Way
Trenton, NJ 08690-2453
Phone (862) 252-1562

Other practice location 1

22 Katie Way
Trenton, NJ 08690-2453
Phone (862) 252-1562

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
I20240610002751 NJ Practitioner - Nurse Practitioner 8729520424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

79 Hall Rd
Chatham, NJ 07928-1754
Phone (855) 444-7258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14872700NJMDPsychiatric/Mental Health Nurse Practitioner
F406548-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lavender New Jersey Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Jun 24, 2026 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Apr 9, 2024 Accepting new patients

Locations

971 US Highway 202 N
#8057
Branchburg, NJ 08876

Organizations & group practices 2

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1194403121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KATIE WAY",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086902453",
            "telephone_number": "862-252-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ STE 300",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "855-444-7258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Katie Way",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086902453",
            "country_code": "US",
            "telephone_number": "862-252-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAFILOSKI",
        "first_name": "ILIJA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14872700",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406548-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.