VYACHESLAV PASTUKH APN
NPI 1457968182
Nurse Practitioner - Gerontology in Vineland, NJ

Q: What is Vyacheslav Pastukh's NPI number?

The NPI number for Vyacheslav Pastukh is 1457968182. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Q: What is Vyacheslav Pastukh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since September 27, 2020PECOS Enrolled

1100 E CHESTNUT AVE, VINELAND, NJ 08360(856) 696-0108 Get Directions Write a Review

NPPES record last updated: September 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Vyacheslav Pastukh Apn NPPES

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

VYACHESLAV PASTUKH APN (NPI 1457968182) is an individual gerontology provider in Vineland, New Jersey, licensed in New Jersey (26NJ01055900) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457968182

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameVYACHESLAV PASTUKHCredential: APN

Location Address1100 E CHESTNUT AVEVineland, NJ 08360-5002

Mailing Address1882 Wynnewood DrVineland, NJ 08361-6771 · (856) 777-3968

Phone(856) 696-0108

Sole ProprietorYes

Enumeration DateSeptember 27, 2020

NPPES CertifiedSeptember 27, 2020

✔ NPI 1457968182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ01055900

1100 E CHESTNUT AVE, Vineland, NJ 08360

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vyacheslav Pastukh Apn 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 08360 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier14 claims14 services$23.24 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$8.67 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims336 services$2.74 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier14 claims392 services$5.35 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier21 claims9,579 services$0.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

NARASIMHALOO VENUGOPAL MD

Internal Medicine