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ILIJA KARAFILOSKI APRN
NPI 1194403121
Nurse Practitioner - Psychiatric/Mental Health in Montclair, NJ

Active since July 10, 2023PECOS EnrolledAccepts Medicare Assignment
18-20 LACKAWANNA PLZ STE 300, MONTCLAIR, NJ 07042(855) 444-7258 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2024, Aug 21, 2023, Jul 14, 2023 (3 updates tracked since 2023).

About Ilija Karafiloski Aprn NPPES

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

ILIJA KARAFILOSKI APRN (NPI 1194403121) is an individual psychiatric/mental health provider in Montclair, New Jersey, licensed in New Jersey (26NJ14872700) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Trenton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194403121
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameILIJA KARAFILOSKICredential: APRN
Location Address18-20 LACKAWANNA PLZ STE 300Montclair, NJ 07042-3642
Mailing Address22 Katie WayTrenton, NJ 08690-2453 · (862) 252-1562
Phone(855) 444-7258
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 10, 2023
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1194403121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NJ · 26NJ14872700✔ Licensed in NY · F406548-01
18-20 LACKAWANNA PLZ STE 300, Montclair, NJ 07042
Open in Google Maps ↗

Secondary Practice Location 1

Location 122 Katie WayTrenton, NJ 08690-2453 · Phone (862) 252-1562

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ilija Karafiloski Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729520424
PECOS Enrollment IDI20240610002751
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ilija Karafiloski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lavender New Jersey Psychiatric Nurse Practitioner PC
13 mi
Psychiatric/Mental Health
245 5TH AVE FL 3
New York, NY 10016
  • Reassigned Medicare billing, New Jersey enrollment
  • 32 clinicians in this Medicare group
NPI 1629922950 (855) 444-7258
Moonshot Psychiatric Nurse Practitioner PC
2,396 mi
Psychiatric/Mental Health
4803 FREMONT AVE N
Seattle, WA 98103
  • Reassigned Medicare billing, New Jersey enrollment
  • 36 clinicians in this Medicare group
NPI 1669158879 (855) 444-7258

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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 18

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

SPEECH GENIE THERAPEUTIC SERVICES
Speech-Language Pathologist
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (973) 826-0595
EMERGENT CHANGE COUNSELING & HEALING
Social Worker (Clinical)
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (973) 671-4309
MS. MELISSA DENNISTON APN -FAMILY PRACTICE
Nurse Practitioner
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (347) 209-0881
KAIROS PSYCHOTHERAPY & WELLNESS LLC
Social Worker (Clinical)
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (862) 801-2410
ZULMA SANABRIA
Social Worker (Clinical)
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (973) 390-9433
BRANDE LEIGH LAURETTA LCSW
Social Worker (Clinical)
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (551) 235-8660
THROUGH AND THROUGH THERAPY
Counselor (Mental Health)
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (551) 236-8660
STACIE DUBNOFF LCSW
Social Worker (Clinical)
18-20 LACKAWANNA PLZ STE 300
MONTCLAIR, NJ 07042
Essex County (973) 498-8759

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 Ilija Karafiloski's NPI number?

The NPI number for Ilija Karafiloski is 1194403121. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Ilija Karafiloski located?

Ilija Karafiloski practices at 18-20 Lackawanna Plz Ste 300, Montclair, NJ 07042. The listed phone number is (855) 444-7258.

What is Ilija Karafiloski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ilija Karafiloski enrolled in Medicare?

Yes. Ilija Karafiloski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ilija Karafiloski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilija Karafiloski reassigns Medicare benefits to 2 organizations: Lavender New Jersey Psychiatric Nurse Practitioner PC (New York, NY) and Moonshot Psychiatric Nurse Practitioner PC (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ilija Karafiloski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ilija Karafiloski accept?

Health plans from Oscar Health list Ilija Karafiloski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ilija Karafiloski was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.