Active NPIIndividual providerSole proprietor

Mr. Michael C Senisch, PHYSICIAN ASSISTANT

Physician Assistant in Woodbury, New Jersey

NPI Number1497888259
Practice location
414 Tatum St, Woodbury, NJ 08096-3499
Fax
—
Last updated
July 8, 2007

Michael Charles Senisch is a Physician Assistant based in Woodbury, NJ. Michael Charles Senisch practices in Woodbury, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Michael Charles Senisch is 1497888259 and holds a License No. 25MP00011800 (NJ). The current practice location address for Michael Charles Senisch is 414 Tatum St, Woodbury, NJ 08096-3499 and can be reached out via phone at 856-848-3880.

Provider Profile Details

NPI Number
1497888259
Provider Name
Michael Charles Senisch
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
414 Tatum St, Woodbury, NJ 08096-3499
Phone Number
856-848-3880
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
414 Tatum St
Woodbury, NJ 08096-3499
Zip
08096-3499
Phone Number
856-848-3880
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
38 Pindale Dr
Bridgeton, NJ 08302-4901
City
Bridgeton
State
NJ
Zip
08302-4901
Phone Number
856-455-7979

License Information

License Number (1)
25MP00011800
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
C5-0000539
License State (2)
DE
Taxonomy (2)
Physician Assistant · 363A00000X

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. Michael C Senisch, PHYSICIAN ASSISTANT?

The NPI number of Mr. Michael C Senisch, PHYSICIAN ASSISTANT is 1497888259. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael C Senisch, PHYSICIAN ASSISTANT?

Mr. Michael C Senisch, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00011800.

Where does Mr. Michael C Senisch, PHYSICIAN ASSISTANT practice?

The practice location is 414 Tatum St, Woodbury, NJ 08096-3499. The office can be reached at 856-848-3880 (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 1497888259 directly on the NPPES registry website.

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