Individual provider Active NPI

Ava Slatkin, MD

  • Corporate Health Clinic/Center
  • Kenilworth, NJ
National Provider Identifier
1346439973
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
MA43254 Issued in NJ
Practice address
2000 Galloping Hill Rd
K-16 Employee Health Services
Kenilworth, NJ 07033-1310
Phone
(908) 298-2818
Fax
(908) 298-2834
NPI assigned
Oct 19, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X MA43254 NJ Primary

Addresses

Primary practice location

2000 Galloping Hill Rd
K-16 Employee Health Services
Kenilworth, NJ 07033-1310

Mailing address

8 Cresthill Rd
Verona, NJ 07044-1313
Phone (973) 857-1816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA43254NJMDCorporate Health Clinic/Center

Interoperability endpoints

  • Direct secure messaging: ava.slatkin.p27@direct.medcor.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1346439973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CRESTHILL RD",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441313",
            "telephone_number": "973-857-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GALLOPING HILL RD",
            "address_2": "K-16 EMPLOYEE HEALTH SERVICES",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331310",
            "telephone_number": "908-298-2818",
            "fax_number": "908-298-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATKIN",
        "first_name": "AVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NJ",
            "license": "MA43254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenilworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.