Individual provider Active NPI

Natalia Maria Kondrat, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1982338224
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028587 Issued in NY
Practice address
630 W 168TH St
New York, NY 10032-3725
Phone
(212) 305-2500
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00714500 NJ
Physician Assistant 363A00000X 028587 NY Primary

Addresses

Primary practice location

630 W 168TH St
New York, NY 10032-3725

Mailing address

630 W 168TH St
New York, NY 10032-3725
Phone (215) 391-8142

Other practice location 1

1 Exchange Pl Fl 1
Jersey City, NJ 07302-3921
Phone (201) 333-8248

Other practice location 2

201 Route 17 Fl 11
Rutherford, NJ 07070-2557
Phone (201) 500-4958

Other practice location 3

629 Cranbury Rd Fl 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other practice location 4

9 Centre Dr Ste 100
Monroe Township, NJ 08831-5153
Phone (609) 395-5577

Other practice location 5

75 Veronica Ave Ste 201
Somerset, NJ 08873-5002
Phone (732) 246-4882

Other practice location 6

3 Progress St Ste 100
Edison, NJ 08820-1180
Phone (908) 757-9696

Other practice location 7

1 Washington Blvd Ste 9
Robbinsville, NJ 08691-3162
Phone (732) 314-0540

Other practice location 8

1200 US Highway 22 Ste 3
Bridgewater, NJ 08807-2943
Phone (732) 390-7725

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.nyp.org/

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109000457 NJ Practitioner - Physician Assistant 7517314784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

377 Jersey Ave
Suite 160
Jersey City, NJ 07302-4397
Phone (201) 333-8248

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 390-7750

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028587NYMDPhysician Assistant
25MP00714500NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Nov 15, 2023 Accepting new patients
Titan Health Partners LLC CurrentSince Nov 15, 2023 Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

1200 US Highway 22
Ste 3
Bridgewater, NJ 08807
Phone (732) 390-7725

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555

3 Progress St
Ste 100
Edison, NJ 08820
Phone (908) 757-9696

34-36 Progress St
Ste B
Edison, NJ 08820

1 Exchange Pl
Fl 1
Jersey City, NJ 07302
Phone (201) 333-8248

9 Centre Dr
Ste 100
Monroe Township, NJ 08831
Phone (609) 395-5577

1 Washington Blvd
Ste 9
Robbinsville, NJ 08691
Phone (732) 314-0540

201 State Rt 17
Fl 11
Rutherford, NJ 07070
Phone (201) 500-4958

75 Veronica Ave
Ste 201
Somerset, NJ 08873
Phone (732) 246-4882

Organizations & group practices 3

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1982338224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "215-391-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Exchange Pl Fl 1",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023921",
            "country_code": "US",
            "telephone_number": "201-333-8248",
            "fax_number": "201-333-8469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Route 17 Fl 11",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070702557",
            "country_code": "US",
            "telephone_number": "201-500-4958",
            "fax_number": "833-993-1986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 Cranbury Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088164096",
            "country_code": "US",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Centre Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088315153",
            "country_code": "US",
            "telephone_number": "609-395-5577",
            "fax_number": "609-395-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Veronica Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088735002",
            "country_code": "US",
            "telephone_number": "732-246-4882",
            "fax_number": "732-249-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Progress St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088201180",
            "country_code": "US",
            "telephone_number": "908-757-9696",
            "fax_number": "908-757-9721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Washington Blvd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NJ",
            "postal_code": "086913162",
            "country_code": "US",
            "telephone_number": "732-314-0540",
            "fax_number": "609-934-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 US Highway 22 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072943",
            "country_code": "US",
            "telephone_number": "732-390-7725",
            "fax_number": "908-530-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDRAT",
        "first_name": "NATALIA",
        "middle_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00714500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.nyp.org/",
            "affiliation": "N",
            "address_1": "630 W 168th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100323725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.