Active NPIIndividual provider

Michael J Ciskowski, PA-C

Physician Assistant in Wall Township, New Jersey

NPI Number1619996402
Practice location
4810 Belmar Blvd, Wall Township, NJ 07753-6952
Fax
732-938-5680
Last updated
June 20, 2024

Michael J Ciskowski is a Physician Assistant based in Wall Township, NJ. Michael J Ciskowski practices in Wall Township, NJ and has the professional credentials of PA-C. The NPI Number for Michael J Ciskowski is 1619996402 and holds a License No. 001569 (CT). The current practice location address for Michael J Ciskowski is 4810 Belmar Blvd, Wall Township, NJ 07753-6952 and can be reached out via phone at 732-938-6090 and via fax at 732-938-5680.

Provider Profile Details

NPI Number
1619996402
Provider Name
Michael J Ciskowski
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4810 Belmar Blvd, Wall Township, NJ 07753-6952
Phone Number
732-938-6090
Fax Number
732-938-5680
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2006
Last Update Date
June 20, 2024
Certification Date
June 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4810 Belmar Blvd
Wall Township, NJ 07753-6952
Zip
07753-6952
Phone Number
732-938-6090
Fax Number
732-938-5680
Wall Township, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
2 Worlds Fair Dr
Somerset, NJ 08873-1369
City
Somerset
State
NJ
Zip
08873-1369
Phone Number
732-537-0909
Fax Number
732-564-9032

License Information

License Number (1)
001569
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00193800
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
25MP00193800
License State (3)
NJ
Taxonomy (3)
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 Michael J Ciskowski, PA-C?

The NPI number of Michael J Ciskowski, PA-C is 1619996402. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael J Ciskowski, PA-C?

Michael J Ciskowski, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001569.

Where does Michael J Ciskowski, PA-C practice?

The practice location is 4810 Belmar Blvd, Wall Township, NJ 07753-6952. The office can be reached at 732-938-6090 (phone) or 732-938-5680 (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 1619996402 directly on the NPPES registry website.

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