Andrew J. Anisko, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA068180 Issued in NJ

Practice address

45 South Ave W
Cranford, NJ 07016-2686

Phone

(908) 653-9449

Fax

(908) 653-9655

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1174600373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SOUTH AVE W",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162686",
            "telephone_number": "908-653-9449",
            "fax_number": "908-653-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SOUTH AVE W",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162686",
            "telephone_number": "908-653-9449",
            "fax_number": "908-653-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANISKO",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA068180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8092001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Pais LPC
• Anchor Behavioral Health Cranford LLC
• Hayk Zar Andriasyan, LMT
• Anew Mental & Behavioral Health Services LLC
• Anisko Medical Associates LLC
• Nikoletta Antczak, PA-C
• Antobre Home Care Services LLC
• Ikenna Anyanwu, PMHNP
• Cynthia Arch, L.C.S.W.
• Ekta Arora-Davis

• Internal Medicine Physician in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.