Kenneth T. Cieslak, D.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00033300 Issued in NJ

Practice address

61 E Main St
Bogota, NJ 07603-1369

Phone

(201) 390-1816

NPI assigned

Aug 24, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ferraro Spine & Rehabilitation, PC

  • Chiropractor
  • Saddle Brook, NJ
  • NPI 1346357654
  NPD
• Garden State Spine and Rehabilitation

  • Chiropractor
  • Freehold, NJ
  • NPI 1780282269
  NPD
• VG Physical Therapy

  • Physical Therapy Clinic/Center
  • Saddle Brook, NJ
  • NPI 1386313807
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164539375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OSBORNE TER",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704362",
            "telephone_number": "973-709-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E MAIN ST",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031369",
            "telephone_number": "201-390-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLAK",
        "first_name": "KENNETH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00490000",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00033300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Irina Brito
• Ashley Brito
• Gabrielle A Carpenter
• Ariel Castro, PT, DPT
• Children's Aid and Family Services, Inc.
• Alyssa Colton
• Daniel E Golden DC PA
• Kristine Dimitui
• Rosalyn Feinman
• Luis Fernandez

• Athletic Trainer in Bogota, NJ
• Providers in Bogota, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.