NPIMap

Individual provider Active NPI

Vladimir Kilinsky, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
National Provider Identifier
1942218623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA047762 Issued in NJ
Practice address
177 N Dean St
208
Englewood, NJ 07631-2533
Phone
(201) 569-0200
Fax
(201) 569-8287
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA047762 NJ Primary

Addresses

Primary practice location

177 N Dean St
208
Englewood, NJ 07631-2533

Mailing address

177 N Dean St
208
Englewood, NJ 07631-2533
Phone (201) 569-0200

Other identifiers 1

IdentifierTypeStateIssuer
0154601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000622 NJ Practitioner - Obstetrics/Gynecology 0446314900 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Englewood Surgical Services, LLCGroup PAC ID 6901960467, 2 clinicians

Practice addresses (Care Compare)

177 N Dean St
Suite 208
Englewood, NJ 07631-2522
Phone (201) 569-0200

40 Engle St
Englewood, NJ 07631-2905
Phone (201) 567-0522

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA047762NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OBGYN Associates of Englewood Obstetrics & Gynecology Current Accepting new patients
Women's Choice of Hackensack P.C. CurrentSince Mar 28, 2017 Accepting new patients
Englewood Physician's Group LLC Obstetrics & Gynecology CurrentSince May 8, 2009 Accepting new patients
Englewood Surgical Services, LLC Obstetrics & Gynecology CurrentSince Feb 13, 1991 Accepting new patients
OB-GYN Associates of Englewood,PA Obstetrics & Gynecology CurrentSince Apr 10, 2003 Accepting new patients
Bergen Clinical Labs, Inc. PastSince Mar 26, 2010 Accepting new patients
Metropolitan Surgical Associates Inc. Dba Metropolitan Medical Assoc Past Accepting new patients

Locations

177 N Dean St
Ste 208
Englewood, NJ 07631
Phone (201) 569-0200

200 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 489-2266

40 Engle St
Englewood, NJ 07631
Phone (201) 567-0522

40 Engle St
Ste 2
Englewood, NJ 07631

Organizations & group practices 7

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 6

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942218623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST",
            "address_2": "208",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312533",
            "telephone_number": "201-569-0200",
            "fax_number": "201-569-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST",
            "address_2": "208",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312533",
            "telephone_number": "201-569-0200",
            "fax_number": "201-569-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILINSKY",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA047762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.