LIUDMILA TIZHGARTEN (FNP) – Family Nurse Practitioner, NPI 1669177416

LIUDMILA TIZHGARTEN (FNP) is a healthcare provider. based in Verona, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 26NJ01465100 (NJ). The NPI Number for LIUDMILA TIZHGARTEN (FNP) is 1669177416

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LIUDMILA TIZHGARTEN (FNP)
NPI
1669177416
Phone
(862) 220-8232
Address
421 BLOOMFIELD AVE APT A3
Enumeration Date
3 April 2023
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8622388181
Graduation Year
2022 (4 years ago)
PAC ID
2860854916
Group Practice PAC ID
3274942487
Professional Enrollment ID
I20230822000839
Address ID
NJ070112353CL1135XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LIUDMILA TIZHGARTEN (FNP)

  • 421 BLOOMFIELD AVE APT A3

    VERONA, NJ 070442023

    Phone: (862) 220-8232

    Type: Mailing

  • 1135 MAIN AVE FL 3

    CLIFTON, NJ 070112353

    Phone: (862) 238-8181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230822000839INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274942487View full group profile
NameSpecialtyState
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Can I verify LIUDMILA TIZHGARTEN (FNP) with an NPI only?
You can start verification with NPI 1669177416 for LIUDMILA TIZHGARTEN (FNP), then check state licensing separately.
Can I rely on LIUDMILA TIZHGARTEN (FNP) being an active provider?
As of the registry snapshot, LIUDMILA TIZHGARTEN (FNP) is marked active.
What taxonomy line describes LIUDMILA TIZHGARTEN (FNP)?
For research purposes, treat LIUDMILA TIZHGARTEN (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does LIUDMILA TIZHGARTEN (FNP) serve?
LIUDMILA TIZHGARTEN (FNP)'s listing highlights Verona, New Jersey; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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