MR. ANDREW CHRISTOPHER KONOPACKI (NPI# 1285183350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285183350 |
| Entity Type | Individual |
| Full Name | MR. ANDREW CHRISTOPHER KONOPACKI |
| Credential | PA-C |
| Practice Address |
456 Prospect Ave West Orange NJ 07052-4112 |
| Mailing Address |
328 W Saint Georges Ave Linden NJ 07036-5638 |
| Practice Telephone | 9737316767 |
| Practice Fax Number | 9737319881 |
| Mailing Telephone | 9089257519 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00407700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
456 PROSPECT AVE |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240668 | Claudia Rivera-galindo | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2008-03-31 |
| 1679034003 | Paul Benjamin Waksman | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2019-03-28 |
| 1336697895 | Johanna Cecilio | Physician Assistant | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2016-09-13 |
| 1558775825 | Peiyun Chang | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052 | 2014-06-16 |
| 1194136697 | Bishoy Wassef | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2014-05-19 |
| 1760829006 | Jessica Akunna | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2013-05-28 |
| 1114230232 | Ernest Fontecha | Internal Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2010-07-18 |
| 1194045914 | Care Station Medical Group, Pa | General Practice | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770066409 | Beatrice Uerlings | Physician Assistant | 7 Paris Cir, West Orange, NJ 07052-1130 | 2018-09-09 |
| 1861974115 | Christa Milici | Physician Assistant | 101 Old Short Hills Rd Ste 302, West Orange, NJ 07052-1023 | 2018-09-04 |
| 1861493744 | David S. Davidson | Physician Assistant | 347 Mt Pleasant Ave, Suite 205, West Orange, NJ 07052-2537 | 2005-08-02 |
| 1154324523 | Steven Kestlinger | Physician Assistant | 1500 Pleasant Valley Way, Suite 101, West Orange, NJ 07052-2956 | 2005-05-31 |
| 1780228692 | Molly Orden | Physician Assistant | 347 Mount Pleasant Ave Ste 103, West Orange, NJ 07052-2745 | 2019-11-04 |
| 1750825725 | Patrick Lombardi | Physician Assistant | 347 Mount Pleasant Ave Ste 205, West Orange, NJ 07052-2749 | 2016-12-11 |
| 1215387386 | Nicole Colucci | Physician Assistant | 347 Mount Pleasant Ave Ste 205, West Orange, NJ 07052-2749 | 2016-06-20 |
| 1841640547 | Nerissa Nicole Taylor | Physician Assistant | 372 Valley Rd, West Orange, NJ 07052-5303 | 2016-06-14 |
| 1548619448 | Brianna Guttuso | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2016-06-10 |
| 1962885301 | Miriam Fox | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2015-07-02 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
Please comment or provide details below to improve the information on MR. ANDREW CHRISTOPHER KONOPACKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.