Active NPIIndividual providerSole proprietor

Keith A Christiansen, MD

Urology in Fair Lawn, New Jersey

NPI Number1679724694
Practice location
14-01 Broadway Ste 3, Fair Lawn, NJ 07410-2008
Fax
—
Last updated
May 15, 2018

Keith Alan Christiansen is an Urology based in Fair Lawn, NJ. Keith Alan Christiansen practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Keith Alan Christiansen is 1679724694 and holds a License No. 25MA08972100 (NJ). The current practice location address for Keith Alan Christiansen is 14-01 Broadway Ste 3, Fair Lawn, NJ 07410-2008 and can be reached out via phone at 201-855-8455.

Provider Profile Details

NPI Number
1679724694
Provider Name
Keith Alan Christiansen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14-01 Broadway Ste 3, Fair Lawn, NJ 07410-2008
Phone Number
201-855-8455
Primary Taxonomy
Urology · 208800000X
Sole Proprietor
Yes
Provider Enumeration Date
October 8, 2008
Last Update Date
May 15, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
14-01 Broadway Ste 3
Fair Lawn, NJ 07410-2008
Zip
07410-2008
Phone Number
201-855-8455
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1401 Hudson St
Apt 1005
Hoboken, NJ 07030-5656
City
Hoboken
State
NJ
Zip
07030-5656
Phone Number
917-903-6272

License Information

License Number (2)
25MA08972100
License State (2)
NJ
Taxonomy (2)
Urology · 208800000X · 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 Keith A Christiansen, MD?

The NPI number of Keith A Christiansen, MD is 1679724694. It was assigned on October 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Keith A Christiansen, MD?

Keith A Christiansen, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in NJ under license number 25MA08972100.

Where does Keith A Christiansen, MD practice?

The practice location is 14-01 Broadway Ste 3, Fair Lawn, NJ 07410-2008. The office can be reached at 201-855-8455 (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 1679724694 directly on the NPPES registry website.

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