Individual provider Active NPI

Ana Kolodko, CNM

  • Advanced Practice Midwife
  • Freehold, NJ
National Provider Identifier
1760906648
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00062301 Issued in NJ
Practice address
300 Professional View Dr
Freehold, NJ 07728-0772
Phone
(732) 432-1616
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25ME00062301 NJ
Advanced Practice Midwife 367A00000X 25ME00062301 NJ Primary

Addresses

Primary practice location

300 Professional View Dr
Freehold, NJ 07728-0772

Mailing address

3165 Nostrand Avenue
5 S
Brooklyn, NY 11229
Phone (646) 353-2882

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925001633 NJ Practitioner - Certified Nurse Midwife (CNM) 3173897592 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (888) 724-7123

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Physicians Practice, LLC Midwife CurrentSince Apr 22, 2024 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Aug 15, 2019 Accepting new patients
Ocean Health Initiatives Inc CurrentSince Aug 15, 2019 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 25, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 25, 2023 Accepting new patients

Locations

200 Williamson St
Ste 350
Elizabeth, NJ 07202
Phone (908) 994-5500

240 Williamson St
Ste 305
Elizabeth, NJ 07202
Phone (908) 351-7500

240 Williamson St
Ste 503
Elizabeth, NJ 07202
Phone (908) 282-2000

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • Direct secure messaging: ana.kolodko.1@3830.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1760906648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 NOSTRAND AVENUE",
            "address_2": "5 S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "646-353-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077280772",
            "telephone_number": "732-432-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODKO",
        "first_name": "ANA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00062301",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00062301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.