Youngjin Ruth Cola, in Englewood, NJ - Medicare Nurse Anesthetist, Certified Registered

Youngjin Ruth Cola, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Englewood, New Jersey. Her current practice location is 350 Engle St, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 894-3322.

Youngjin Ruth Cola is licensed to practice in New Jersey (license number 26NJ15278800) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255193165.

Contact Information

	Youngjin Ruth Cola,
	350 Engle St, Englewood, NJ 07631-1808
	(201) 894-3322
	Not Available

Map and Direction

Provider's Profile

Full Name	Youngjin Ruth Cola
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	350 Engle St, Englewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255193165
Provider Enumeration Date: 01/25/2024
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 1557889227
Enrollment ID: I20250516000231

Medical Identifiers

Medical identifiers for Youngjin Ruth Cola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255193165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	23129277 (Louisiana)	Secondary
163W00000X	Registered Nurse	95234131 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
367500000X	Nurse Anesthetist, Certified Registered	26NJ15278800 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Youngjin Ruth Cola allows following entities to bill medicare on her behalf.

Entity Name	Northern Valley Anesthesiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245289487 PECOS PAC ID: 0749194868 Enrollment ID: O20031113000519

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Youngjin Ruth Cola is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Youngjin Ruth Cola, 257 Westview Ave, Fort Lee, NJ 07024-5231 Ph: () -	Youngjin Ruth Cola, 350 Engle St, Englewood, NJ 07631-1808 Ph: (201) 894-3322

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Englewood, NJ

Eldine Ciceron, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 845-821-0058
Digna Cruz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585
Joseph Pollock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3000
Dr. Ravi M Modh, DNP, APN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3000
Barbara Shackford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585
Martina E Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Anesthesia Department, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Reinhard Kopping, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585

Youngjin Ruth Cola, - Medicare Nurse Anesthetist, Certified Registered in Englewood, NJ