Individual provider Active NPI

Mikhail Solomonov, MD

  • Anesthesiology Physician
  • Cedar Knolls, NJ
National Provider Identifier
1225095672
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07903700 Issued in NJ
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

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Diagnostics of Northern New Jersey, PA CurrentSince Jun 1, 2022 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.

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.

Verify at the official NPI Registry.