Active NPIIndividual provider

Mr. Andrew C Konopacki, PA-C

Physician Assistant in West Orange, New Jersey

NPI Number1285183350
Practice location
456 Prospect Ave, West Orange, NJ 07052-4112
Fax
973-731-9881
Last updated
September 29, 2016

Andrew Christopher Konopacki is a Physician Assistant based in West Orange, NJ. Andrew Christopher Konopacki practices in West Orange, NJ and has the professional credentials of PA-C. The NPI Number for Andrew Christopher Konopacki is 1285183350 and holds a License No. 25mp00407700 (NJ). The current practice location address for Andrew Christopher Konopacki is 456 Prospect Ave, West Orange, NJ 07052-4112 and can be reached out via phone at 973-731-6767 and via fax at 973-731-9881.

Provider Profile Details

NPI Number
1285183350
Provider Name
Andrew Christopher Konopacki
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
456 Prospect Ave, West Orange, NJ 07052-4112
Phone Number
973-731-6767
Fax Number
973-731-9881
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2016
Last Update Date
September 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
456 Prospect Ave
West Orange, NJ 07052-4112
Zip
07052-4112
Phone Number
973-731-6767
Fax Number
973-731-9881
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
328 W Saint Georges Ave
Linden, NJ 07036-5638
City
Linden
State
NJ
Zip
07036-5638
Phone Number
908-925-7519

License Information

License Number
25mp00407700
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Mr. Andrew C Konopacki, PA-C?

The NPI number of Mr. Andrew C Konopacki, PA-C is 1285183350. It was assigned on September 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Andrew C Konopacki, PA-C?

Mr. Andrew C Konopacki, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25mp00407700.

Where does Mr. Andrew C Konopacki, PA-C practice?

The practice location is 456 Prospect Ave, West Orange, NJ 07052-4112. The office can be reached at 973-731-6767 (phone) or 973-731-9881 (fax).

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 1285183350 directly on the NPPES registry website.

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