Individual provider Active NPI

Eugene Glukhovskiy, NP

  • Gerontology Nurse Practitioner
  • Iselin, NJ
National Provider Identifier
1235027327
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
312329 Issued in NY
Practice address
801 Route 1 # 1040
Iselin, NJ 08830-2609
Phone
(908) 930-7860
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 312329 NY Primary

Addresses

Primary practice location

801 Route 1 # 1040
Iselin, NJ 08830-2609

Mailing address

801 Route 1 # 1040
Iselin, NJ 08830-2609

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
I20251028001921 NJ Practitioner - Nurse Practitioner 3072002385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston Hospital Physicians, P.a.Group PAC ID 9133170392, 10 clinicians

Practice addresses (Care Compare)

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (201) 322-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312329NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Hospital Physicians, P.a. CurrentSince Oct 1, 2025 Accepting new patients

Locations

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

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1235027327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROUTE 1 # 1040",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROUTE 1 # 1040",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302609",
            "telephone_number": "908-930-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUKHOVSKIY",
        "first_name": "EUGENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "312329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.