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THOMAS A. KOWALENKO, D.O.
NPI 1407160245
Family Medicine in Clark, NJ

Active since August 04, 2010CLIA 31D1018375 · Waiver
808 RARITAN RD, CLARK, NJ 07066(732) 381-2100(732) 382-3576 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas A. Kowalenko, D.o. NPPES

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

THOMAS A. KOWALENKO, D.O. (NPI 1407160245) is a healthcare organization registered as a family medicine in Clark, New Jersey and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Thomas A Kowalenko, Owner, as its authorized official.

NPPES Registry Identity

NPI1407160245
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHOMAS A. KOWALENKO, D.O.
Location Address808 RARITAN RDClark, NJ 07066-1710
Mailing Address808 Raritan RdClark, NJ 07066-1710 · (732) 381-2100 · Fax (732) 382-3576
Phone(732) 381-2100
Fax(732) 382-3576
Organization SubpartNo
Authorized OfficialThomas A KowalenkoOwner · (908) 358-8530
Enumeration DateAugust 4, 2010
✔ NPI 1407160245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MBO6592500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
808 RARITAN RD, Clark, NJ 07066
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Other Identifiers 3

Medicaid0026808NJ
Medicare PIN071154NJ
Medicare UPINH88734NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1018375

Thomas Kowalenko Do · Clark, NJ
Active · expires Oct 20, 2027
CLIA Number31D1018375
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorThomas Kowalenko Do
Laboratory Phone(732) 381-2100
Laboratory LocationThomas Kowalenko Do808 Raritan Road, Clark, NJ 07066
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. THOMAS A KOWALENKO DO
Family Medicine
808 RARITAN RD
CLARK, NJ 07066
Union County (732) 381-2100

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 Thomas A. Kowalenko, D.O.'s NPI number?

The NPI number for Thomas A. Kowalenko, D.O. is 1407160245. It was assigned to this organization in the NPPES registry on August 4, 2010.

Where is Thomas A. Kowalenko, D.O. located?

Thomas A. Kowalenko, D.O. is located at 808 Raritan Rd, Clark, NJ 07066. The listed phone number is (732) 381-2100.

What is Thomas A. Kowalenko, D.O.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Thomas A. Kowalenko, D.O. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1018375) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thomas A. Kowalenko, D.O. was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.