Active NPIIndividual provider

Mr. Charles Kaczmarski, PA-C

Physician Assistant in Pomona, New Jersey

NPI Number1285280701
Practice location
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Fax
609-441-8178
Last updated
October 2, 2025

Charles Kaczmarski is a Physician Assistant based in Pomona, NJ. Charles Kaczmarski practices in Pomona, NJ and has the professional credentials of PA-C. The NPI Number for Charles Kaczmarski is 1285280701 and holds a License No. 25MP00591100 (NJ). The current practice location address for Charles Kaczmarski is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102 and can be reached out via phone at 609-345-4000 and via fax at 609-441-8178.

Provider Profile Details

NPI Number
1285280701
Provider Name
Charles Kaczmarski
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
Phone Number
609-345-4000
Fax Number
609-441-8178
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2019
Last Update Date
October 2, 2025
Certification Date
October 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 W Jimmie Leeds RD
Pomona, NJ 08240-9102
City
Pomona
Zip
08240-9102
Phone Number
609-345-4000
Fax Number
609-441-8178
Pomona, NJ 08240Get directions →

Provider Business Mailing Address Details

Address
65 W Jimmie Leeds RD
Pomona, NJ 08240-9102
City
Pomona
State
NJ
Zip
08240-9102
Phone Number
609-345-4000
Fax Number
609-441-8178

License Information

License Number (1)
25MP00591100
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA9114472
License State (2)
FL
Taxonomy (2)
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. Charles Kaczmarski, PA-C?

The NPI number of Mr. Charles Kaczmarski, PA-C is 1285280701. It was assigned on August 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Charles Kaczmarski, PA-C?

Mr. Charles Kaczmarski, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00591100.

Where does Mr. Charles Kaczmarski, PA-C practice?

The practice location is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102. The office can be reached at 609-345-4000 (phone) or 609-441-8178 (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 1285280701 directly on the NPPES registry website.

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