Active NPIIndividual providerSole proprietor

Dimitry Polishchuk

Specialist in Caldwell, New Jersey

NPI Number1023929783
Practice location
40 Mc Nish Way, Caldwell, NJ 07006-3801
Fax
—
Last updated
September 14, 2026

Dimitry Polishchuk is a Specialist based in Caldwell, NJ. Dimitry Polishchuk practices in Caldwell, NJ. The NPI Number for Dimitry Polishchuk is 1023929783 and holds a License No. 2101733261 (NY). The current practice location address for Dimitry Polishchuk is 40 Mc Nish Way, Caldwell, NJ 07006-3801 and can be reached out via phone at 917-579-6742.

Provider Profile Details

NPI Number
1023929783
Provider Name
Dimitry Polishchuk
Provider Entity Type
Individual
Gender
Male
Address
40 Mc Nish Way, Caldwell, NJ 07006-3801
Phone Number
917-579-6742
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2026
Last Update Date
September 14, 2026
Certification Date
September 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Mc Nish Way
Caldwell, NJ 07006-3801
Zip
07006-3801
Phone Number
917-579-6742
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
40 Mc Nish Way
Caldwell, NJ 07006-3801
City
Caldwell
State
NJ
Zip
07006-3801

License Information

License Number
2101733261
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dimitry Polishchuk?

The NPI number of Dimitry Polishchuk is 1023929783. It was assigned on September 14, 2026 and is currently active in the NPPES registry.

What is the specialty of Dimitry Polishchuk?

Dimitry Polishchuk is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 2101733261.

Where does Dimitry Polishchuk practice?

The practice location is 40 Mc Nish Way, Caldwell, NJ 07006-3801. The office can be reached at 917-579-6742 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023929783 directly on the NPPES registry website.

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