Active NPI
Mikhail Solomonov, MD
- Anesthesiology Physician
- Cedar Knolls, NJ
National Provider Identifier
1225095672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA07903700
- Practice address
- 8 Saddle Rd
Suite 204
Cedar Knolls, NJ 07927-1902 - Phone
- (973) 998-7868
- Fax
- (973) 998-7883
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA07903700 | NJ | Primary |
Addresses
Primary practice location
8 Saddle Rd
Suite 204
Cedar Knolls, NJ 07927-1902
Mailing address
8 Saddle Rd
Suite 204
Cedar Knolls, NJ 07927-1902
Phone (973) 998-7868
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Diagnostics of Northern New Jersey, PA | Current | Accepting new patients | |
| Rutherford Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
Locations
205 Browertown Rd
Ste 102
Woodland Park, NJ 07424
Phone (973) 890-4780
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.
-
- Ambulatory Surgical Clinic/Center
- Woodland Park, NJ
- NPI 1942267893
-
- Anesthesiology Physician
- Rutherford, NJ
- NPI 1891727376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1225095672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SADDLE RD",
"address_2": "SUITE 204",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079271902",
"telephone_number": "973-998-7868",
"fax_number": "973-998-7883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SADDLE RD",
"address_2": "SUITE 204",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079271902",
"telephone_number": "973-998-7868",
"fax_number": "973-998-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMONOV",
"first_name": "MIKHAIL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA07903700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.