Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nikita O. Shulzhenko, MD

Individual provider Plastic Surgery Physician · NPI 1780143503

Nikita O. Shulzhenko, MD is a Plastic and Reconstructive Surgery in Newark, New Jersey. Graduated from University of Wisconsin School of Medicine in 2019, 7 years ago. Works from 2 locations. Licensed in Pennsylvania.

Years since qualifying
7
Trained at
University of Wisconsin School of Medicine
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

140 Bergen St Ste E1620
Newark, NJ 07103-2425
Phone: (973) 972-5377
Fax: (973) 972-8268
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Monument Rd Ste 220b, York, PA 17403-5049 — (717) 812-2390

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Plastic Surgery Physician Taxonomy 208200000X · Licence MD488807 (PA)

Record details

NPI number1780143503
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address140 Bergen St Ste E1620, Newark, NJ 07103-2425

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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