Glenn Kolansky, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA06217900 Issued in NJ

Practice address

4 Hartford Dr
Suite 3
Tinton Falls, NJ 07701-4929

Phone

(732) 933-8500

Fax

(732) 933-4177

NPI assigned

Nov 13, 2006

Last updated

Jun 28, 2010By the provider in NPPES

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

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

Specialty

Dermatology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.31 of 100Reported as individual

Quality

91.67

Improvement activities

40

Cost

78.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Dermatology Surgery Center

  • Procedural Dermatology Physician
  • Tinton Falls, NJ
  • NPI 1144657164
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1740351683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR",
            "address_2": "SUITE 3",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014929",
            "telephone_number": "732-933-8500",
            "fax_number": "732-933-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR",
            "address_2": "SUITE 3",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014929",
            "telephone_number": "732-933-8500",
            "fax_number": "732-933-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLANSKY",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA06217900",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA06217900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C King, D.P.M., D.C.
• Colleen Kissinger, MS, PT
• Kristen Rose Klein, APN
• Jeffrey M Knecht, D.C.
• Dustin Knoblauch, LCSW
• Maria Kolarsick, DNP
• Jason J Koller, PTA
• Timothy Michael Komazec, PT
• Alexandra Kovaleva, M.D.
• Kristine Lane, LCSW

• Dermatology Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.

Verify at the official NPI Registry.