Individual provider Active NPI

Milena Kolesnikova

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1285065557
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
302026 Issued in NY
Practice address
586 Midland Ave
Staten Island, NY 10306-5903
Phone
(646) 598-7791
Fax
(646) 437-5474
NPI assigned
Dec 11, 2013
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 302026 NY Primary

Addresses

Primary practice location

586 Midland Ave
Staten Island, NY 10306-5903

Mailing address

586 Midland Ave
Staten Island, NY 10306-5903
Phone (646) 598-7791

Other identifiers 2

IdentifierTypeStateIssuer
05839372MedicaidNY
302026OtherNYNY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181226000363 NJ Practitioner - Internal Medicine 9537381389 Reassigns benefits to 4 organizations
I20210215000428 NY Practitioner - Internal Medicine 9537381389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Doctor Milena Kolesnikova PCGroup PAC ID 1254748320, 6 clinicians

Practice addresses (Care Compare)

586 Midland Ave
Suite B
Staten Island, NY 10306-5903
Phone (347) 201-5081

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302026NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Amboy Medical Practice PC CurrentSince Jan 15, 2021 Accepting new patients
Stadium Emergency Associates CurrentSince Sep 1, 2019 Accepting new patients
Holmdel Physician Associates CurrentSince Nov 6, 2018 Accepting new patients
Liberty Med Associates LLC Internal Medicine CurrentSince Jul 28, 2019 Accepting new patients
Two River Physician Associates CurrentSince Sep 14, 2019 Accepting new patients
DP Radiology Imaging PC CurrentSince Jun 16, 2024 Accepting new patients
Amboy Medical Practice PC Internal Medicine CurrentSince Jan 15, 2021 Accepting new patients
Medical Doctor Milena Kolesnikova PC Internal Medicine CurrentSince Jan 5, 2021 Accepting new patients

Locations

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

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

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

586 Midland Ave
Ste B
Staten Island, NY 10306
Phone (347) 201-5081

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: milenakolesnikova@mai.allscriptsdirect.net

Organizations & group practices 9

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 3

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": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1285065557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065903",
            "telephone_number": "646-598-7791",
            "fax_number": "646-437-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065903",
            "telephone_number": "646-598-7791",
            "fax_number": "646-437-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESNIKOVA",
        "first_name": "MILENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "302026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05839372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL LICENSE",
            "identifier": "302026",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.