Active NPI
Piotr Kisza, M.D.
- Vascular & Interventional Radiology Physician
- East Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 25MA07838000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02359382 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6900
Hospital & facility affiliations
- The University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07838000 | NJ | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Vascular & Interventional Radiology | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | 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
- piotr.kisza.p7@direct.vac.nextgenshare.com
- 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.
-
- Diagnostic Radiology Physician
- Newark, NJ
- NPI 1316957913
Vascular & Interventional Radiology
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Radiological Physics Physician
- New York, NY
- NPI 1679504203
Vascular & Interventional Radiology
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1093906828
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1558313593
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1093046203
-
- Radiological Physics Physician
- New York, NY
- NPI 1225069149
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1306994173
Vascular & Interventional Radiology
-
- Radiological Physics Physician
- New York, NY
- NPI 1568519833
Vascular & Interventional Radiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.