DR. MICHAEL FIZICKI (NPI# 1295766764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295766764 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL FIZICKI |
| Credential | M.D. |
| Practice Address |
192 Hackensack St Unit G East Rutherford NJ 07073-1524 |
| Practice Telephone | 2014608282 |
| Practice Fax Number | 3023716655 |
| Mailing Telephone | 2014608282 |
| Mailing Fax Number | 3023716655 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MA39187 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
192 HACKENSACK ST UNIT G |
| City | EAST RUTHERFORD |
| State | NJ |
| Zip Code | 07073-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765989 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 (northbound), E. Rutherford, NJ 07073 | 2020-09-21 |
| 1396214490 | Radhika V Shah | Dentist | 70 Cliffwood Terrace, East Rutherford, NJ 07073 | 2018-11-19 |
| 1174816441 | James Hennig | Pharmacist | 20 Murray Hill Pkwy Ste 210, East Rutherford, NJ 07073 | 2011-05-19 |
| 1396914156 | Drug Fair of East Rutherfod | Durable Medical Equipment & Medical Supplies | Liberty Commons 51 Route 17 South, East Rutherford, NJ 07073 | 2008-02-26 |
| 1710164769 | Rachel Long | Social Worker | 1 Meadowlands Plaza, Suite #200, East Rutherford, NJ 07073 | 2008-01-22 |
| 1306999214 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 N, E. Rutherford, NJ 07073 | 2007-01-22 |
| 1780766600 | John C Scolamiero | Internal Medicine | 245 Park Avenue, East Rutherford, NJ 07073 | 2006-10-19 |
| 1528159951 | Michael J Bozan | Chiropractor | 237 Park Avenue, East Rutherford, NJ 07073 | 2006-09-28 |
| 1821015645 | Hudson County Orthodontics LLC | Dentist | 42 Locust Lane, East Rutherford, NJ 07073 | 2006-07-16 |
| 1437128022 | Ronnie Phillip Barnes | Specialist | 50 State Route 120, New York Football Giants, East Rutherford, NJ 07073 | 2006-03-16 |
| Find all providers in zip 07073 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215456983 | Amanda Jo Henning | Family Medicine | 1100 Westcott Dr, Flemington, NJ 08822 | 2017-09-14 |
| 1538694963 | Kathleen Carpio | Family Medicine | 1300 State Route 35 Unit 204, Ocean, NJ 07712-3533 | 2017-04-24 |
| 1396286597 | Melissa Maxine Gonzalez | Family Medicine | 1300 Highway 35 Unit 101, Ocean, NJ 07712-3533 | 2017-03-20 |
| 1821470923 | Jenee P Skinner-hamler | Family Medicine | 112 Camelot Cir, Mays Landing, NJ 08330-4907 | 2015-06-24 |
| 1104262948 | Sarah Uddin | Family Medicine | 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717 | 2013-05-20 |
| 1841514510 | Henry G Schriever | Family Medicine | 9 Sandy Cove Ln, Beach Haven, NJ 08008-6154 | 2010-03-24 |
| 1487985552 | David Abend Do Pa | Family Medicine | 400 Old Hook Rd Ste 2-6, Westwood, NJ 07675-2720 | 2010-01-28 |
| 1053647636 | Ira L Fox | Family Medicine | 23 Green Acre Way, Glassboro, NJ 08028-2706 | 2009-11-02 |
| 1235360892 | Panfilo G Canton | Family Medicine | 182 Derby Dr., Freehold, NJ 07728-2766 | 2009-07-30 |
| 1801051875 | Angelique L Colbert | Family Medicine | 36 Lancaster Dr, Westampton, NJ 08060-2453 | 2008-07-18 |
| Find all providers with the same taxonomy | ||||
| City | EAST RUTHERFORD |
| Zip Code | 07073 |
Please comment or provide details below to improve the information on DR. MICHAEL FIZICKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.