Lisa Csedrik, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00204900 Issued in NJ

Practice address

25 Locust Ave
North Arlington, NJ 07031-5512

Phone

(201) 246-1111

Fax

(201) 955-7467

NPI assigned

Aug 26, 2008

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1285881748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOCUST AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315512",
            "telephone_number": "201-246-1111",
            "fax_number": "201-955-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LOCUST AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315512",
            "telephone_number": "201-246-1111",
            "fax_number": "201-955-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSEDRIK",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00204900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY",
            "identifier": "25MP00204900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in North Arlington, NJ
• Providers in North Arlington, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.