Active NPIIndividual providerSole proprietor

Dr. Kenneth T Cieslak, DC

Specialist/Technologist, Athletic Trainer in Bogota, New Jersey

NPI Number1164539375
Practice location
61 E Main St, Bogota, NJ 07603-1369
Fax
—
Last updated
September 11, 2025

Kenneth T. Cieslak is a Specialist/Technologist, Athletic Trainer based in Bogota, NJ. Kenneth T. Cieslak practices in Bogota, NJ and has the professional credentials of DC. The NPI Number for Kenneth T. Cieslak is 1164539375 and holds a License No. 38MC00490000 (NJ). The current practice location address for Kenneth T. Cieslak is 61 E Main St, Bogota, NJ 07603-1369 and can be reached out via phone at 201-390-1816.

Provider Profile Details

NPI Number
1164539375
Provider Name
Kenneth T. Cieslak
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
61 E Main St, Bogota, NJ 07603-1369
Phone Number
201-390-1816
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 E Main St
Bogota, NJ 07603-1369
City
Bogota
Zip
07603-1369
Phone Number
201-390-1816
Bogota, NJ 07603Get directions →

Provider Business Mailing Address Details

Address
12 Osborne Ter
Wayne, NJ 07470-4362
City
Wayne
State
NJ
Zip
07470-4362
Phone Number
973-709-0574

License Information

License Number (1)
38MC00490000
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
25MT00033300
License State (2)
NJ
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

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

Other Specialist/Technologist, Athletic Trainers near Bogota, NJ

View all Specialist/Technologist, Athletic Trainers in Bogota →

Frequently Asked Questions

What is the NPI number of Dr. Kenneth T Cieslak, DC?

The NPI number of Dr. Kenneth T Cieslak, DC is 1164539375. It was assigned on August 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth T Cieslak, DC?

Dr. Kenneth T Cieslak, DC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 38MC00490000.

Where does Dr. Kenneth T Cieslak, DC practice?

The practice location is 61 E Main St, Bogota, NJ 07603-1369. The office can be reached at 201-390-1816 (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 1164539375 directly on the NPPES registry website.

Browse related providers