Individual provider Active NPI

Karen Patashny, MD

  • Pediatrics Physician
  • Randolph, NJ
National Provider Identifier
1265495717
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA05157200 Issued in NJ
Practice address
28 Wilkinson Rd
Randolph, NJ 07869-3470
Phone
(973) 927-5250
NPI assigned
Apr 7, 2006
Last updated
Jan 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA05157200 NJ Primary

Addresses

Primary practice location

28 Wilkinson Rd
Randolph, NJ 07869-3470

Mailing address

28 Wilkinson Rd
Randolph, NJ 07869-3470
Phone (973) 927-5250

Other practice location 1

151 Route 10
Suite 105
Succasunna, NJ 07876-1452
Phone (973) 584-0002

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130823000588 NJ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6608019633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05157200NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1265495717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILKINSON RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693470",
            "telephone_number": "973-927-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WILKINSON RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693470",
            "telephone_number": "973-927-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Route 10",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Succasunna",
            "state": "NJ",
            "postal_code": "078761452",
            "country_code": "US",
            "telephone_number": "973-584-0002",
            "fax_number": "973-584-7107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATASHNY",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05157200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.