Mr. Nicholas Kodjak, CA, MA
Acupuncturist in Montclair, New Jersey
1679733133- Practice location
- 70 Park St, Montclair, NJ 07042-5907
- Phone
- 973-746-7766
- Fax
- —
- Last updated
- June 9, 2008
Nicholas Kodjak is an Acupuncturist based in Montclair, NJ. Nicholas Kodjak practices in Montclair, NJ and has the professional credentials of CA, MA. The NPI Number for Nicholas Kodjak is 1679733133 and holds a License No. 25MZ00061100 (NJ). The current practice location address for Nicholas Kodjak is 70 Park St, Montclair, NJ 07042-5907 and can be reached out via phone at 973-746-7766.
Provider Profile Details
- NPI Number
- 1679733133
- Provider Name
- Nicholas Kodjak
- Credential
- CA, MA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 70 Park St, Montclair, NJ 07042-5907
- Phone Number
- 973-746-7766
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2008
- Last Update Date
- June 9, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Park St
Montclair, NJ 07042-5907 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-5907
- Phone Number
- 973-746-7766
Provider Business Mailing Address Details
- Address
- 70 Park St
Montclair, NJ 07042-5907 - City
- Montclair
- State
- NJ
- Zip
- 07042-5907
License Information
- License Number
- 25MZ00061100
- License State
- NJ
- Taxonomy
- Acupuncturist · 171100000X · 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. Nicholas Kodjak, CA, MA?
The NPI number of Mr. Nicholas Kodjak, CA, MA is 1679733133. It was assigned on June 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Nicholas Kodjak, CA, MA?
Mr. Nicholas Kodjak, CA, MA is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00061100.
Where does Mr. Nicholas Kodjak, CA, MA practice?
The practice location is 70 Park St, Montclair, NJ 07042-5907. The office can be reached at 973-746-7766 (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 1679733133 directly on the NPPES registry website.