MARIA KOROGODSKY PA-C
NPI 1114177441
Physician Assistant in Newark, NJ

Active since September 23, 2008PECOS Enrolled
65 BERGEN ST, NEWARK, NJ 07107(973) 972-5686 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maria Korogodsky Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA KOROGODSKY PA-C (NPI 1114177441) is an individual physician assistant in Newark, New Jersey, licensed in New Jersey (25MP00067500) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114177441
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA KOROGODSKYCredential: PA-C
Location Address65 BERGEN STNewark, NJ 07107-3001
Mailing Address27 Softwood WayWarren, NJ 07059-6791 · (973) 972-5686
Sole ProprietorNo
Enumeration DateSeptember 23, 2008
Last NPPES UpdateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
NPI 1114177441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00067500
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
65 BERGEN ST, Newark, NJ 07107

Secondary Practice Locations 2

Location 1101 Old Short Hills Rd Ste 101West Orange, NJ 07052-1023 · Phone (973) 731-4600 · Fax (973) 731-1477
Location 2100 Madison AveMorristown, NJ 07960-6136 · Phone (973) 971-4287 · Fax (973) 290-8325

Other Identifiers 1

Other25MP00067500NJ · Gastroenterology

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maria Korogodsky Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
65 BERGEN ST
NEWARK, NJ 07107
Nurse Anesthetist, Certified Registered
65 BERGEN ST
NEWARK, NJ 07107
Physical Therapist
65 BERGEN ST
NEWARK, NJ 07107
Occupational Therapist (Pediatrics)
65 BERGEN ST
NEWARK, NJ 07107
Social Worker (Clinical)
65 BERGEN ST, 818
NEWARK, NJ 07107
Nurse Practitioner (Family)
65 BERGEN ST
NEWARK, NJ 07107
Physician Assistant (Surgical)
65 BERGEN ST, SUITE GA-230
NEWARK, NJ 07107
Physical Therapist (Pediatrics)
65 BERGEN ST
NEWARK, NJ 07107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Korogodsky's NPI number?

The NPI number for Maria Korogodsky is 1114177441. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Maria Korogodsky located?

Maria Korogodsky practices at 65 Bergen St, Newark, NJ 07107. The listed phone number is (973) 972-5686.

What is Maria Korogodsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maria Korogodsky enrolled in Medicare?

Yes. Maria Korogodsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maria Korogodsky was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.