Krista L Teresak, PA-C
Physician Assistant in Ridgewood, New Jersey
1992172969- Practice location
- 85 S Maple Ave, Ridgewood, NJ 07450-4561
- Phone
- 201-445-2830
- Fax
- 201-445-7471
- Last updated
- February 28, 2024
Krista L Teresak is a Physician Assistant based in Ridgewood, NJ. Krista L Teresak practices in Ridgewood, NJ and has the professional credentials of PA-C. The NPI Number for Krista L Teresak is 1992172969 and holds a License No. 022033 (NY). The current practice location address for Krista L Teresak is 85 S Maple Ave, Ridgewood, NJ 07450-4561 and can be reached out via phone at 201-445-2830 and via fax at 201-445-7471.
Provider Profile Details
- NPI Number
- 1992172969
- Provider Name
- Krista L Teresak
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 85 S Maple Ave, Ridgewood, NJ 07450-4561
- Phone Number
- 201-445-2830
- Fax Number
- 201-445-7471
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 26, 2015
- Last Update Date
- February 28, 2024
- Certification Date
- February 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 85 S Maple Ave
Ridgewood, NJ 07450-4561 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-4561
- Phone Number
- 201-445-2830
- Fax Number
- 201-445-7471
Provider Business Mailing Address Details
- Address
- 85 S Maple Ave
Ridgewood, NJ 07450-4561 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-4561
- Phone Number
- 201-445-2830
- Fax Number
- 201-445-7471
License Information
- License Number (1)
- 022033
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00371500
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · 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 Krista L Teresak, PA-C?
The NPI number of Krista L Teresak, PA-C is 1992172969. It was assigned on August 26, 2015 and is currently active in the NPPES registry.
What is the specialty of Krista L Teresak, PA-C?
Krista L Teresak, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 022033.
Where does Krista L Teresak, PA-C practice?
The practice location is 85 S Maple Ave, Ridgewood, NJ 07450-4561. The office can be reached at 201-445-2830 (phone) or 201-445-7471 (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 1992172969 directly on the NPPES registry website.