Elizabeth Pavlovsky
Individual provider Active NPI Primary Care Nurse Practitioner · JB MDL, NJ
NPI 1649816976 · NPPES record last updated Oct 3, 2025
Key facts
- NPI
- 1649816976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 26NJ00972800 (NJ)
- Practice address
- 3458 Neely Rd
JB MDL, NJ 08641-5312 - Phone
- (866) 377-2778
- Fax
- (609) 754-9249
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191230002196 | NJ | Practitioner - Nurse Practitioner | 4183058019 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RDP Consultants | Pain Medicine | Current |
Accepting new patients |
Locations
666 Plainsboro Rd
Ste 100D
Plainsboro, NJ 08536
Phone (609) 269-4451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00972800 | NJ | Yes |
Addresses
Primary practice location
3458 Neely Rd
JB MDL, NJ 08641-5312
Mailing address
3458 Neely Rd
JB MDL, NJ 08641-5312
Phone (866) 377-2778
Other providers in JB MDL, NJ
- Shoshana Mael
- Margarita Mailander
- Louis Joseph Marconyak Jr.
- Gabrielle Lorin McIntyre
- Jesse Murillo
- Joseph Shahata Colberg
- John Robert Smith
- Elaine Jamina Steele
- Heather Ann Steelman
- Patrick Andrew Stockton
All providers in JB MDL, NJ · Primary Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.