Active NPIIndividual provider

Michaela Bukoski, PA-C

Physician Assistant in Wayne, New Jersey

NPI Number1992352199
Practice location
1055 Hamburg Tpke Ste 100, Wayne, NJ 07470-3235
Fax
973-616-1792
Last updated
October 23, 2020

Michaela Bukoski is a Physician Assistant based in Wayne, NJ. Michaela Bukoski practices in Wayne, NJ and has the professional credentials of PA-C. The NPI Number for Michaela Bukoski is 1992352199 and holds a License No. 25MP00539700 (NJ). The current practice location address for Michaela Bukoski is 1055 Hamburg Tpke Ste 100, Wayne, NJ 07470-3235 and can be reached out via phone at 973-616-0200 and via fax at 973-616-1792.

Provider Profile Details

NPI Number
1992352199
Provider Name
Michaela Bukoski
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1055 Hamburg Tpke Ste 100, Wayne, NJ 07470-3235
Phone Number
973-616-0200
Fax Number
973-616-1792
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2019
Last Update Date
October 23, 2020
Certification Date
October 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1055 Hamburg Tpke Ste 100
Wayne, NJ 07470-3235
City
Wayne
Zip
07470-3235
Phone Number
973-616-0200
Fax Number
973-616-1792
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-6457
City
Boston
State
MA
Zip
02241-6457
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License Number
25MP00539700
License State
NJ
Taxonomy
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 Michaela Bukoski, PA-C?

The NPI number of Michaela Bukoski, PA-C is 1992352199. It was assigned on August 22, 2019 and is currently active in the NPPES registry.

What is the specialty of Michaela Bukoski, PA-C?

Michaela Bukoski, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00539700.

Where does Michaela Bukoski, PA-C practice?

The practice location is 1055 Hamburg Tpke Ste 100, Wayne, NJ 07470-3235. The office can be reached at 973-616-0200 (phone) or 973-616-1792 (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 1992352199 directly on the NPPES registry website.

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