Individual provider Active NPI

Elina Nachevnik, M.D.

  • Pediatrics Physician
  • West Orange, NJ
National Provider Identifier
1396778684
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07431900 Issued in NJ
Practice address
745 Northfield Ave Ste 7
West Orange, NJ 07052-1136
Phone
(973) 243-0002
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 25MA07431900 NJ Primary

Addresses

Primary practice location

745 Northfield Ave Ste 7
West Orange, NJ 07052-1136

Mailing address

34 Norwood Ter
Millburn, NJ 07041-1911
Phone (973) 376-6553

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
I20101005000878 NJ Practitioner - Pediatric Medicine 8426240730 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Mar 1, 2020 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Kintiroglou Pediatrics LLC Pediatrics Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

7 James St
Florham Park, NJ 07932
Phone (973) 295-6226

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

745 Northfield Ave
Ste 7
West Orange, NJ 07052
Phone (973) 243-0002

Interoperability endpoints

  • Direct secure messaging: enachevnik237766@epicdirect.rwjbh.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1396778684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 NORWOOD TER",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411911",
            "telephone_number": "973-376-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NORTHFIELD AVE STE 7",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521136",
            "telephone_number": "973-243-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHEVNIK",
        "first_name": "ELINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07431900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.