Individual provider Active NPI

Paul A Kolarsick, M.D.

  • Colon & Rectal Surgery Physician
  • Eatontown, NJ
National Provider Identifier
1730526070
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MA10659100 Issued in NJ
Practice address
10 Industrial Way E Ste 104
Eatontown, NJ 07724-3333
Phone
(732) 389-1331
NPI assigned
May 28, 2013
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA10659100 NJ
Colon & Rectal Surgery Physician 208C00000X 25MA10659100 NJ Primary

Addresses

Primary practice location

10 Industrial Way E Ste 104
Eatontown, NJ 07724-3333

Mailing address

10 Industrial Way E Ste 104
Eatontown, NJ 07724-3333
Phone (732) 389-1331

Other practice location 1

300 2nd Ave
Long Branch, NJ 07740-6303
Phone (732) 923-6769

Other practice location 2

101 Prospect St Ste 214
Lakewood, NJ 08701-5003
Phone (732) 389-1331

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
I20190903000600 NJ Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4789930231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNJ Specialty Surgical AssociateGroup PAC ID 9638528557, 6 clinicians

Practice addresses (Care Compare)

10 Industrial Way E
Suite 104
Eatontown, NJ 07724-3333
Phone (732) 389-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.38 of 100Reported as group
Quality
40
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10659100NJMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
CNJ Specialty Surgical Associate Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients

Locations

10 Industrial Way E
Ste 104
Eatontown, NJ 07724
Phone (732) 389-1331

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1730526070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 104",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243333",
            "telephone_number": "732-389-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 104",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243333",
            "telephone_number": "732-389-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406303",
            "country_code": "US",
            "telephone_number": "732-923-6769",
            "fax_number": "732-923-6768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Prospect St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015003",
            "country_code": "US",
            "telephone_number": "732-389-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLARSICK",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10659100",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA10659100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.