Active NPI
Micheal Kirschmann, PAC
- Physician Assistant
- Woodbury, NJ
National Provider Identifier
1396010625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.001059
- Practice address
- 307 S Evergreen Ave
Woodbury, NJ 08096-2739 - Phone
- (856) 686-4316
- NPI assigned
- Mar 20, 2012
- Last updated
- Jun 13, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.001059 | OH | Primary |
Addresses
Primary practice location
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Mailing address
272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1396010625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 BENEDICT AVE",
"city": "NORWALK",
"state": "OH",
"postal_code": "448572374",
"telephone_number": "419-668-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCHMANN",
"first_name": "MICHEAL",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.001059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.