Katherine Marie Fomchenko

Pathology, Anatomic Pathology & Clinical Pathology in Red Bank, NJ. Individual provider (NPI-1).

NPI number1982173654

StatusActive

Last updated in NPPESJun 9, 2026

Details

NPI: 1982173654
Entity type: Individual (NPI-1)
Name: Katherine Marie Fomchenko
Sex: Female
Sole proprietor: No
Enumeration date: Nov 25, 2018
Certification date: Jun 9, 2026
Last updated: Jun 9, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PATHOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	25MA13004200	NJ	Yes

Practice location

1 Riverview Plz
Red Bank, NJ 07701-1864

Phone 732-741-2700

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509

Phone 800-288-8325

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Anatomic Pathology & Clinical Pathology Physician providers in Red Bank, NJ

All 10 Anatomic Pathology & Clinical Pathology Physician providers in Red Bank · All 1,651 providers in Red Bank

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