Tamara Khmelnitsky, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ14934700 Issued in NJ

Practice address

1 Harmon PLZ Ste 304
Secaucus, NJ 07094-2800

Phone

(763) 349-7900

NPI assigned

Mar 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_tkhmelni@landmarkhealth-direct.org

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.

• Monogram Health Professional Services of New Jersey LLC

  • Nephrology Physician
  • Paramus, NJ
  • NPI 1578284246
  Medicare reassignment NPD

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1215796263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARMON PLZ STE 304",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942800",
            "telephone_number": "763-349-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARMON PLZ STE 304",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942800",
            "telephone_number": "763-349-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHMELNITSKY",
        "first_name": "TAMARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14934700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin M Kelly, DPT
• Ayman Khafagi, MD
• Djavlon A Khakimov, DPM
• Ghassan Khani, M.D.
• Sonu Khatri
• Lucy Kim
• Kipnis Orthopaedic Rehab of Secaucus LLC
• Kipnis Physical Therapy and Sports Medicine
• Avani Manasa Kolla Patel, MD
• Dani Korya, M.D.

• Family Nurse Practitioner in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.