Active NPI
Vladislav Zelondzhev, D.O.
- Psychiatry Physician
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MB09044000
- Practice address
- 2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051 - Phone
- (856) 482-9000
- Fax
- (856) 482-1159
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 25MB09044000 | NJ | Primary |
Addresses
Primary practice location
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Mailing address
2250 Chapel Ave W
Suite 100
Cherry Hill, NJ 08002-2051
Phone (856) 482-9000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Park Ave
Manalapan, NJ 07726-8375
Phone (732) 679-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stress Care of New Jersey, LLC | Current | Accepting new patients | |
| Stress Care of New Jersey, LLC | Current | Accepting new patients | |
| Meditelecare of New Jersey LLC | Psychiatry | Current | Accepting new patients |
| MPV New Jersey MD Services PC | Past | Accepting new patients |
Locations
500 Park Ave
Manalapan, NJ 07726
Phone (732) 679-4500
4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500
111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440
100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Matawan, NJ
- NPI 1033433834
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Somerset, NJ
- NPI 1982345567
-
- General Practice Physician
- Westwood, NJ
- NPI 1215391271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1639307945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 CHAPEL AVE W",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022051",
"telephone_number": "856-482-9000",
"fax_number": "856-482-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELONDZHEV",
"first_name": "VLADISLAV",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB09044000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.