Healthcare Provider Details

I. General information

NPI: 1457226003
Provider Name (Legal Business Name): NATALIA SADJARWO KOLCHINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TRENTON RD # 2018
BROWNS MILLS NJ
08015-1705
US

IV. Provider business mailing address

200 TRENTON RD # 2018
BROWNS MILLS NJ
08015-1705
US

V. Phone/Fax

Practice location:
  • Phone: 609-293-2839
  • Fax:
Mailing address:
  • Phone: 609-893-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15429600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: