Active NPI
Mindful Cognition PC
- Psychiatric/Mental Health Nurse Practitioner
- Ridgefield Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDFUL COGNITION PC
- Practice address
- 131 Overpeck Ave
Ridgefield Park, NJ 07660-1855 - Phone
- (201) 667-2197
- NPI assigned
- Nov 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcel Kaganovskaya, APN
- Title
- Ceo
- Phone
- (570) 540-2590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
131 Overpeck Ave
Ridgefield Park, NJ 07660-1855
Mailing address
131 Overpeck Ave
Ridgefield Park, NJ 07660-1855
Phone (201) 667-2197
Other practice location 1
815 Gravesend Neck Rd
Brooklyn, NY 11223-5552
Phone (201) 667-2197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
622 Valley Rd
Ste 5I
Upper Montclair, NJ 07043
Phone (201) 667-2197
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Ridgefield Park, NJ
- NPI 1417301094
Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Clifton, NJ
- NPI 1801331434
-
- Adult Health Nurse Practitioner
- Verona, NJ
- NPI 1477980415
Psychiatric/Mental Health
-
- Professional Counselor
- Northfield, NJ
- NPI 1710768536
-
- Clinical Social Worker
- Cape May, NJ
- NPI 1174305254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669852800000",
"number": "1912615428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 OVERPECK AVE",
"city": "RIDGEFIELD PARK",
"state": "NJ",
"postal_code": "076601855",
"telephone_number": "201-667-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 OVERPECK AVE",
"city": "RIDGEFIELD PARK",
"state": "NJ",
"postal_code": "076601855",
"telephone_number": "201-667-2197"
}
],
"practiceLocations": [
{
"address_1": "815 Gravesend Neck Rd",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112235552",
"country_code": "US",
"telephone_number": "201-667-2197",
"fax_number": "973-928-5290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MINDFUL COGNITION PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-14",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A",
"authorized_official_last_name": "KAGANOVSKAYA",
"authorized_official_first_name": "MARCEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "570-540-2590",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgefield Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.