Active NPI
Katherine Marie Fomchenko
- Anatomic Pathology & Clinical Pathology Physician
- Red Bank, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA13004200
- Practice address
- 1 Riverview PLZ
Red Bank, NJ 07701-1864 - Phone
- (732) 741-2700
- NPI assigned
- Nov 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA13004200 | NJ | Primary |
Addresses
Primary practice location
1 Riverview PLZ
Red Bank, NJ 07701-1864
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Johns Hopkins University School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1945 Route 33
Neptune, NJ 07753-4859
Phone (732) 775-5500
5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544
5755 Cedar LN
Columbia, MD 21044-2999
Phone (410) 740-7890
5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
6201 Greenleigh Ave
Middle River, MD 21220-2004
Hospital & facility affiliations
- Johns Hopkins Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0102049 | MD | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Interoperability endpoints
- kfomchenko431697@direct.hopkinsmedicine.org
Organizations & group practices 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Anatomic Pathology & Clinical Pathology Physician
- Brick, NJ
- NPI 1104903723
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Anatomic Pathology & Clinical Pathology Physician
- Baltimore, MD
- NPI 1477540904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1982173654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIVERVIEW PLZ",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011864",
"telephone_number": "732-741-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOMCHENKO",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-25",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA13004200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.