MICHAELA BUKOSKI (NPI# 1992352199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992352199 |
| Entity Type | Individual |
| Full Name | MICHAELA BUKOSKI |
| Credential | PA-C |
| Practice Address |
1055 Hamburg Tpke Ste 100 Wayne NJ 07470-3235 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9736160200 |
| Practice Fax Number | 9736161792 |
| Mailing Telephone | 8443621735 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00539700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 219 S Broad St, Elizabeth, NJ 072023453 | 9088181600 |
| Street Address |
1055 HAMBURG TPKE STE 100 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912098187 | Christopher Hubbard | Orthopaedic Surgery | 1055 Hamburg Tpke Ste 100, Wayne, NJ 07470-3235 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1427699180 | Zoie Brianne Phillips | Physician Assistant | 200 Eagle Rd Ste 220, Wayne, PA 19087-3115 | 2019-10-03 |
| 1942724844 | Sarah Elizabeth Gilbert | Physician Assistant | 246 Hamburg Tpke Ste 306, Wayne, NJ 07470-2159 | 2017-08-01 |
| 1134655343 | Lindsay Haberman | Physician Assistant | 205 W Lancaster Ave Ste 2, Wayne, PA 19087-3343 | 2017-05-08 |
| 1679956395 | Tara Halpern | Physician Assistant | 15 Frederick Ct, Wayne, NJ 07470-2878 | 2015-06-30 |
| 1972886356 | Julianne Szabo | Physician Assistant | 342 Hamburg Tpke., Suite 205, Wayne, NJ 07470-2111 | 2011-09-22 |
| 1588677033 | David L. Rasizer | Physician Assistant | 12 Perera Ave, Wayne, NJ 07470-4330 | 2006-08-15 |
| 1760467294 | Robert K Adamczyk | Physician Assistant | 150 Hinchman Ave Ste 4, Wayne, NJ 07470 | 2005-12-07 |
| 1326649955 | Tiffany A Piatt | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-11-02 |
| 1548887391 | Shefin Mathew | Physician Assistant | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2020-06-28 |
| Find all providers in WAYNE | ||||
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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.