DR. THOMAS A KOWALENKO DO
NPI 1538136429
Family Medicine in Clark, NJ

Q: What is Thomas Kowalenko's NPI number?

The NPI number for Thomas Kowalenko is 1538136429. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Q: What is Thomas Kowalenko's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Kowalenko was last updated on July 27, 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.

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment

808 RARITAN RD, CLARK, NJ 07066(732) 381-2100(732) 382-3576 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Thomas A Kowalenko Do NPPES

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

DR. THOMAS A KOWALENKO DO (NPI 1538136429) is an individual family medicine provider in Clark, New Jersey, licensed in New Jersey (25MB06592500) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Philadelphia College Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1538136429

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS A KOWALENKOCredential: DO

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

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1996

Enumeration DateMarch 1, 2006

Last NPPES UpdateJuly 27, 2010

✔ NPI 1538136429 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 · 25MB06592500

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

Medicare UPINH88734

Medicare ID-Type Unspecified071154NJ

Medicaid0026808NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas A Kowalenko Do 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 ID3375732563

PECOS Enrollment IDI20110104000348

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

214 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310024

Location865 Stone StRahway, NJ 07065 · Union County

Emergency services

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07066 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

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

THOMAS A. KOWALENKO, D.O.

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 Kowalenko's NPI number?

The NPI number for Thomas Kowalenko is 1538136429. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Thomas Kowalenko located?

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

What is Thomas Kowalenko's specialty?

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

Is Thomas Kowalenko enrolled in Medicare?

Yes. Thomas Kowalenko 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.

Is Thomas Kowalenko affiliated with any hospitals?

According to CMS data, Thomas Kowalenko is affiliated with Robert Wood Johnson University Hospital At Rahway and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Kowalenko was last updated on July 27, 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.