Mr. Kenneth A Citak, MD
Psychiatry & Neurology, Neurology in Ridgewood, New Jersey
1578527941- Practice location
- 1200 East Ridgewood Ave, East Wing 2ND Floor, Ridgewood, NJ 07450
- Phone
- 201-444-0868
- Fax
- 201-493-0797
- Last updated
- July 19, 2023
Kenneth A Citak is a Psychiatry & Neurology, Neurology based in Ridgewood, NJ. Kenneth A Citak practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Kenneth A Citak is 1578527941 and holds a License No. MA55879 (NJ). The current practice location address for Kenneth A Citak is 1200 East Ridgewood Ave, East Wing 2ND Floor, Ridgewood, NJ 07450 and can be reached out via phone at 201-444-0868 and via fax at 201-493-0797.
Provider Profile Details
- NPI Number
- 1578527941
- Provider Name
- Kenneth A Citak
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1200 East Ridgewood Ave, East Wing 2ND Floor, Ridgewood, NJ 07450
- Phone Number
- 201-444-0868
- Fax Number
- 201-493-0797
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2006
- Last Update Date
- July 19, 2023
- Certification Date
- July 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 East Ridgewood Ave
East Wing 2ND Floor
Ridgewood, NJ 07450 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450
- Phone Number
- 201-444-0868
- Fax Number
- 201-493-0797
Provider Business Mailing Address Details
- Address
- 1200 East Ridgewood Ave
East Wing 2ND Floor
Ridgewood, NJ 07450 - City
- Ridgewood
- State
- NJ
- Zip
- 07450
- Phone Number
- 201-444-0868
- Fax Number
- 201-493-0797
License Information
- License Number
- MA55879
- License State
- NJ
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Kenneth A Citak, MD?
The NPI number of Mr. Kenneth A Citak, MD is 1578527941. It was assigned on April 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth A Citak, MD?
Mr. Kenneth A Citak, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NJ under license number MA55879.
Where does Mr. Kenneth A Citak, MD practice?
The practice location is 1200 East Ridgewood Ave, East Wing 2ND Floor, Ridgewood, NJ 07450. The office can be reached at 201-444-0868 (phone) or 201-493-0797 (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 1578527941 directly on the NPPES registry website.