Active NPIIndividual provider

Diane M Niestepski, PA

Physician Assistant in Hackettstown, New Jersey

NPI Number1508960543
Practice location
653 Willow Grove St, Suite 2000, Hackettstown, NJ 07840-1732
Fax
908-684-3301
Last updated
March 19, 2019

Diane Marie Niestepski is a Physician Assistant based in Hackettstown, NJ. Diane Marie Niestepski practices in Hackettstown, NJ and has the professional credentials of PA. The NPI Number for Diane Marie Niestepski is 1508960543 and holds a License No. 25MP00157300 (NJ). The current practice location address for Diane Marie Niestepski is 653 Willow Grove St, Suite 2000, Hackettstown, NJ 07840-1732 and can be reached out via phone at 908-684-3005 and via fax at 908-684-3301.

Provider Profile Details

NPI Number
1508960543
Provider Name
Diane Marie Niestepski
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
653 Willow Grove St, Suite 2000, Hackettstown, NJ 07840-1732
Phone Number
908-684-3005
Fax Number
908-684-3301
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2006
Last Update Date
March 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
653 Willow Grove St
Suite 2000
Hackettstown, NJ 07840-1732
Zip
07840-1732
Phone Number
908-684-3005
Fax Number
908-684-3301
Hackettstown, NJ 07840Get directions →

Provider Business Mailing Address Details

Address
376 Lafayette RD
Ste 202
Sparta, NJ 07871-3560
City
Sparta
State
NJ
Zip
07871-3560
Phone Number
908-684-3005
Fax Number
908-684-3301

License Information

License Number (1)
25MP00157300
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
25MP00157300
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X

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 Diane M Niestepski, PA?

The NPI number of Diane M Niestepski, PA is 1508960543. It was assigned on September 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Diane M Niestepski, PA?

Diane M Niestepski, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00157300.

Where does Diane M Niestepski, PA practice?

The practice location is 653 Willow Grove St, Suite 2000, Hackettstown, NJ 07840-1732. The office can be reached at 908-684-3005 (phone) or 908-684-3301 (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 1508960543 directly on the NPPES registry website.

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