Michael Volodarskiy

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01391400 Issued in NJ

Practice address

717 N Beers St Ste 1C
Holmdel, NJ 07733-1525

Phone

(347) 755-6134

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1497489231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST STE 1C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331525",
            "telephone_number": "347-755-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST STE 1C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331525",
            "telephone_number": "347-755-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLODARSKIY",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01391400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01391400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaskarn Virk
• Visiting Nurse Association of Central Jersey, Inc.
• Visiting Nurse Association of Central Jersey, Inc.
• Olga Vitiv
• Vna Health Group of New Jersey, LLC
• Stephanie Lynn Wagner, RN
• Heather Walls, SLP
• Hongling Wang, MD
• Jijo Wang, MD
• Liping Wang, M.S., C.A.

• All providers in Holmdel, NJ
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.