Piotr Slawomir Kisza (NPI# 1013960079, PAC ID# 4284615063) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1013960079 |
| PAC ID by PECOS | 4284615063 |
| Professional Enrollment ID | I20050502000145 |
| Full Name | Piotr Slawomir Kisza |
| Organization Legal Name | VASCULAR ACCESS CENTER OF WEST ORANGE, LLC |
| Address |
347 Mount Pleasant Ave Suite 100 West Orange NJ 07052-2745 |
| Phone Number | 9733250042 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6709987795 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310119 | THE UNIVERSITY HOSPITAL |
| 310083 | EAST ORANGE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 Bergen St, Newark, NJ 07103-2496 | 9739726900 | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC |
| 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 | 9733250042 | VASCULAR ACCESS CENTER OF WEST ORANGE, LLC |
| Organization Legal Name | VASCULAR ACCESS CENTER OF WEST ORANGE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abhishek Kumar | Diagnostic Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| David Philip Klyde | Interventional Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| Pratik A Shukla | Diagnostic Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| Street Address |
347 MOUNT PLEASANT AVE SUITE 100 |
| City | WEST ORANGE |
| State | NJ |
| Zip | 07052-2745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur C Tutela Ii | Ophthalmology | 347 Mount Pleasant Ave, Suite 101, West Orange, NJ 07052-2745 | |
| Abhishek Kumar | Diagnostic Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| David Philip Klyde | Interventional Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| Pratik A Shukla | Diagnostic Radiology | Vascular Access Center of West Orange, LLC | 347 Mount Pleasant Ave, Suite 100, West Orange, NJ 07052-2745 |
| Jordan S Fabrikant | Dermatology | The Dermatology Group | 347 Mount Pleasant Ave, Suite 104, West Orange, NJ 07052-2745 |
| Veronica C Dinu | Pathology | The Dermatology Group | 347 Mount Pleasant Ave, Suite 104, West Orange, NJ 07052-2745 |
| Charles Elias | Dermatology | The Dermatology Group | 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052-2745 |
| John P Tutela | Plastic and Reconstructive Surgery | 347 Mount Pleasant Ave, Suite 101, West Orange, NJ 07052-2745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Hertz | Vascular Surgery | 1500 Pleasant Valley Way, Suite 302, West Orange, NJ 07052-0256 | |
| Sanjay Lalla | Plastic and Reconstructive Surgery | 383 Northfield Ave, Suite 102, West Orange, NJ 07052-0383 | |
| Cheryl S Citron | Dermatology | 101 Old Short Hills Rd, West Orange, NJ 07052-1000 | |
| Jane K Hochberg | Clinical Psychologist | 56 Herbert Ter, West Orange, NJ 07052-1021 | |
| Jennifer D Fitzgibbons | Nurse Practitioner | Rubino Ob Gyn Group Pa | 101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023 |
| Irina Alekseyeva | Anesthesiology | Barnabas Health Multispecialty | 101 Old Short Hills Rd, Suite 217, West Orange, NJ 07052-1023 |
| Isaac Kramer | Internal Medicine | 101 Old Short Hills Rd, Suite 440, West Orange, NJ 07052-1023 | |
| Lisa E Abeshaus | Obstetrics/gynecology | Rubino Ob Gyn Group Pa | 101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023 |
| Deborah Greengrass | Nurse Practitioner | Gynecologic Cancer and Pelvic Surgery LLC | 101 Old Short Hills Rd, Suite 400, West Orange, NJ 07052-1023 |
| Vasileios Kostaras | General Surgery | Professional Associates In Surgery, LLP | 101 Old Short Hills Rd, Suite 206, West Orange, NJ 07052-1023 |
| Find all physicians in zip 07052 | |||
| City | WEST ORANGE |
| Zip Code | 07052 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | WEST ORANGE + INTERVENTIONAL RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.