Individual provider Active NPI

Piotr Kisza, M.D.

  • Vascular & Interventional Radiology Physician
  • East Orange, NJ
National Provider Identifier
1013960079
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA07838000 Issued in NJ
Practice address
110 S Grove St
East Orange, NJ 07018-4102
Phone
(973) 677-1027
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 25MA07838000 NJ Primary

Addresses

Primary practice location

110 S Grove St
East Orange, NJ 07018-4102

Mailing address

110 S Grove St
East Orange, NJ 07018-4102

Other identifiers 1

IdentifierTypeStateIssuer
02359382MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000145 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4284615063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6900

Hospital & facility affiliations

  • The University Hospital Hospital, Newark, NJ, CCN 310119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07838000NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Vascular & Interventional Radiology CurrentSince Jan 3, 2005 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jan 3, 2005 Accepting new patients
Beth Israel Medical Center Vascular & Interventional Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
SLR Diagnostic Radiology, P.C. Vascular & Interventional Radiology Past Accepting new patients
West Side Radiology Associates, PC Vascular & Interventional Radiology Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Past Accepting new patients
SLR Diagnostic Radiology, P.C. Past Accepting new patients
East Manhattan Diagnostic Imaging, PC Past Accepting new patients

Locations

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

150 Bergen St
#C
Newark, NJ 07103
Phone (973) 972-5188

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

Interoperability endpoints

  • Direct secure messaging: piotr.kisza.p7@direct.vac.nextgenshare.com
  • Direct secure messaging: piotr.kisza.wo@direct.vac.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013960079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S GROVE ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070184102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S GROVE ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070184102",
            "telephone_number": "973-677-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISZA",
        "first_name": "PIOTR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA07838000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02359382",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.