Thomas a. Kowalenko, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MBO6592500 Issued in NJ

Legal business name

THOMAS A. KOWALENKO, D.O.

Practice address

808 Raritan Rd
Clark, NJ 07066-1710

Phone

(732) 381-2100

Fax

(732) 382-3576

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A Kowalenko, D.O.NPI 1538136429

Title

Owner

Phone

(908) 358-8530

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas A Kowalenko, DO

  • Family Medicine Physician
  • Clark, NJ
  • NPI 1538136429
  NPD (past) Authorized official

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1407160245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661710",
            "telephone_number": "732-381-2100",
            "fax_number": "732-382-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661710",
            "telephone_number": "732-381-2100",
            "fax_number": "732-382-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. KOWALENKO, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "KOWALENKO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-358-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MBO6592500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Hearing Center, PC
• Theracare Managed Services, LLC
• Theracare of New Jersey LLC
• Theracare of New Jersey LLC
• Harry A. Thibodeau, R.PH.
• Benia Thomas, LCSW
• Jennifer Thomson, MD
• Corrin Tota
• Township of Clark
• Jessica P. Trindade, PSY.D.

• Family Medicine Physician in Clark, NJ
• Providers in Clark, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.