CHRISTOPHER R KIELISZAK (NPI# 1346508421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346508421 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER R KIELISZAK |
| Credential | D.O. |
| Practice Address |
1206 Driving Park Ave Newark NY 14513 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 3153311313 |
| Practice Fax Number | 3155737787 |
| Mailing Telephone | 3153311313 |
| Mailing Fax Number | 3155737787 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
300797 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 810 Altos Oaks Dr, Los Altos, CA 94024 | 6509418888 | |
| 395 West Ave Ste 301, Canandaigua, NY 144241548 | 5853963110 | 5853960979 |
| 4638 Genesee St, Geneseo, NY 144541090 | 5852432319 | 5859916032 |
| Street Address |
1206 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326065186 | Finger Lakes Otolaryngology, PC | Otolaryngology | 1206 Driving Park Ave, Newark, NY 14513-1057 | 2006-07-17 |
| 1609228279 | Jeffrey Harford | Nurse Practitioner | 1206 Driving Park Ave, Newark, NY 14513-1057 | 2016-07-07 |
| 1053704387 | Md Hearing Solutions | Hearing Aid Equipment | 1206 Driving Park Ave, Newark, NY 14513-1057 | 2015-03-11 |
| 1487849261 | Dawn W. Patrick | Audiologist | 1206 Driving Park Ave, Newark, NY 14513 | 2007-09-13 |
| 1104977503 | Finger Lakes Professional Hearing Aid Services, Inc. | Audiologist-Hearing Aid Fitter | 1206 Driving Park Ave, Newark, NY 14513-1057 | 2007-01-15 |
| 1720139025 | Carol Ann Clingerman | Audiologist | 1206 Driving Park Ave, Newark, NY 14513 | 2007-01-15 |
| 1073535480 | John F Centonze | Otolaryngology | 1206 Driving Park Ave, Newark, NY 14513-1057 | 2006-07-24 |
| 1710909148 | W. Bradley Simmons | Otolaryngology | 1206 Driving Park Ave, Newark, NY 14513-1057 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326065186 | Finger Lakes Otolaryngology, PC | Otolaryngology | 1206 Driving Park Ave, Newark, NY 14513-1057 | 2006-07-17 |
| 1841256765 | Kenneth Carroll Parker | Otolaryngology | 36 Mcmillen Dr, Newark, OH 43055-1809 | 2006-04-21 |
| 1952691834 | Boris Paskhover | Otolaryngology | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427311430 | Gary Linkov | Otolaryngology | 635 Madison Ave # 1402e, New York, NY 10022-1009 | 2012-06-25 |
| 1205196961 | Daniela Maria Burchhardt | Otolaryngology | 89-06 Van Wyck Expy Suite 2t, Jamaica, NY 11418 | 2012-05-29 |
| 1710276753 | Moustafa W. Mourad | Otolaryngology | 115 E 61st St Ste 7c, New York, NY 10065 | 2011-03-30 |
| 1144528050 | Jerrold Conrad Gendler | Otolaryngology | 560 Norhern Blvd, 190, Great Neck, NY 11021 | 2011-03-02 |
| 1447485529 | Paul D. Gittelman,m.d. F.a.c.s. P.l.l.c. | Otolaryngology | 1600 Harrison Ave Ste G-104, Mamaroneck, NY 10543 | 2009-05-19 |
| 1083850044 | Richard W Westreich Md Pllc | Otolaryngology | 4 E 88th St Ste 1b, New York, NY 10128 | 2008-12-22 |
| 1780845545 | Lesley Rabach | Otolaryngology | 33 5th Ave Apt 1b, Lm Medical Nyc, New York, NY 10003-4377 | 2008-06-24 |
| 1033377213 | Joseph J Rousso | Otolaryngology | 440 Northern Blvd, Great Neck, NY 11021-4813 | 2008-05-24 |
| 1528243680 | Stuart Arnold | Otolaryngology | 194 Heron Ln, Manhasset, NY 11030-4012 | 2008-01-08 |
| 1225173370 | Shari Diane Reitzen-bastidas | Otolaryngology | 121 Dekalb Ave # 9e, Brooklyn, NY 11201-5425 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
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| 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.