Svetlana Volskaya
Individual provider Active NPI Psychiatry Physician · Glen Gardner, NJ
NPI 1265610885 · NPPES record last updated Mar 5, 2012
Key facts
- NPI
- 1265610885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 25MA06669800 (NJ)
- Practice address
- 200 Sanatorium Rd
C/O Hagedorn Psychiatric Hospital
Glen Gardner, NJ 08826-3288 - Phone
- (908) 537-2141
- Fax
- (908) 537-3186
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120711000115 | NJ | Practitioner - Psychiatry | 2961667274 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06669800 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Current |
Accepting new patients |
Locations
200 Sanatorium Rd
Glen Gardner, NJ 08826
Phone (908) 537-2141
200 Sanatorium Rd
#C
Glen Gardner, NJ 08826
59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA06669800 | NJ | Yes |
Addresses
Primary practice location
200 Sanatorium Rd
C/O Hagedorn Psychiatric Hospital
Glen Gardner, NJ 08826-3288
Mailing address
200 Sanatorium Rd
C /O Hagedorn Psychiatric Hospital
Glen Gardner, NJ 08826-3288
Phone (908) 537-2141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028491C2F | Other | NJ | MEDICARE BILLING NO. |
| 4508203 | Medicaid | NJ |
Other providers in Glen Gardner, NJ
- Laura Rosman
- Keith William Skinner
- State of New Jersey Omb Centralized Payroll
- The Ajoe Center
- Marissa Laurene Thorsen
- Helen Tamuno-Tonye West
- Travis John Wranitz
- X-Factor Sports Physical Therapy
All providers in Glen Gardner, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.