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

Individual provider Surgical Oncology Physician · NPI 1376785360

Vadim P Koshenkov, MD is a Surgical Oncology in New Brunswick, New Jersey. Graduated from State University of New York Downstate Medical Center in 2011, 15 years ago. Practices with Rutgers Health-Rwj Scleroderma Program, a 387-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Trained at
State University of New York Downstate Medical Center
Licensed in
NJ
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

195 Little Albany St Ste 3001
New Brunswick, NJ 08901-1914
Phone: (732) 235-7563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 25MA09287900 (NJ)

Record details

NPI number1376785360
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2009
Last updated in NPPESFebruary 24, 2014
Mailing address195 Little Albany St Ste 3001, New Brunswick, NJ 08901-1914

Medicare enrollment

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

Medicare specialtySURGICAL ONCOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2011 (15 years in practice)
Group practice Rutgers Health-Rwj Scleroderma Program — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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