Individual provider Active NPI

Svetlana Volskaya

  • Psychiatry Physician
  • Glen Gardner, NJ
National Provider Identifier
1265610885
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06669800 Issued in 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
Last updated
Mar 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06669800 NJ Primary

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 2

IdentifierTypeStateIssuer
028491C2FOtherNJMEDICARE BILLING NO.
4508203MedicaidNJ

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
I20120711000115 NJ Practitioner - Psychiatry 2961667274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MA06669800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Mar 24, 2012 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

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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1265610885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SANATORIUM RD",
            "address_2": "C /O HAGEDORN PSYCHIATRIC HOSPITAL",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263288",
            "telephone_number": "908-537-2141",
            "fax_number": "908-537-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANATORIUM RD",
            "address_2": "C/O HAGEDORN PSYCHIATRIC HOSPITAL",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263288",
            "telephone_number": "908-537-2141",
            "fax_number": "908-537-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLSKAYA",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06669800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NO.",
            "identifier": "028491C2F",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4508203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Gardner, NJ

Sources for this page

Verify at the official NPI Registry.