Natalya O Avanesova, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07613800 Issued in NJ

Practice address

193 RT 9 South, Suite 1 D
Manalapan, NJ 07726-3016

Phone

(732) 677-2505

Fax

(732) 677-2506

NPI assigned

Sep 20, 2005

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.natalya.avanesova@direct.digidms.com
• Direct secure messaging: navanesova424968@direct.ahsys.org

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.

• Natalya Avanesova LLC

  • Internal Medicine Physician
  • Manalapan, NJ
  • NPI 1578797759
  Medicare reassignment NPD Authorized official
• East Mountain Hospital Inc

  • Psychiatric Hospital
  • Belle Mead, NJ
  • NPI 1184626152
  NPD (past)
• East Mountain Hospital, Inc.

  • Psychiatry Physician
  • Belle Mead, NJ
  • NPI 1437366127
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1902891583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 ROUTE 9 STE 1D",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263016",
            "telephone_number": "732-677-2505",
            "fax_number": "732-677-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 RT 9 SOUTH, SUITE 1 D",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263016",
            "telephone_number": "732-677-2505",
            "fax_number": "732-677-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANESOVA",
        "first_name": "NATALYA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07613800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic Spine and Joint Pain Center
• Atrium Diagnostic Imaging LLC (Atrium Diagnostic Imaging)
• Atrium Diagnostic Imaging LLC
• Deborah Ellen Atzbi, LCSW
• Aura Anesthesiology of NJ PC
• Avicenna Medical Arts, PLLC
• Gary N Axelrad, MD
• David Hani Ayad, D.O.
• Christina Ayoub, BCBA
• Amy Azer

• Internal Medicine Physician in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.