ELIZABETH KISELAK (NPI# 1912296195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912296195 |
| Entity Type | Individual |
| Full Name | ELIZABETH KISELAK |
| Credential | MD |
| Practice Address |
5 Summit Ave. Suite 105 Hackensack NY 07601 |
| Mailing Address |
5 Summit Ave Ste 105 Hackensack NJ 07601-1271 |
| Practice Telephone | 5519962900 |
| Mailing Telephone | 5519962900 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
25MA09907400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
25MA09907400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
5 SUMMIT AVE. SUITE 105 |
| City | HACKENSACK |
| State | NY |
| Zip Code | 07601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447412622 | John J. Locurto, Md,facs Limited Liability Company | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-06-27 |
| 1558313650 | New Jersey Trauma and Critical Care Associates, PC | Surgery | 30 Prospect Ave, Faculty Practice Office, Hackensack, NJ 07601-1914 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427410273 | Heiron Surgery Pllc | Surgery | 172 Kilburn Rd, Garden City, NY 11530-1328 | 2016-03-22 |
| 1316249766 | Akeem A. Atanda | Surgery | 1 Brookdale Plz Ste 222, Brooklyn, NY 11212-3139 | 2010-11-17 |
| 1548380488 | Manuel Alejandro Guerrero | Surgery | 350 Canal St, #700, New York, NY 10013-9400 | 2007-03-31 |
| 1639796568 | Health Quest Medical Practice, PC | Surgery | 159 Barnegat Rd, Poughkeepsie, NY 12601-5401 | 2020-06-26 |
| 1326599713 | Caitlin N Haenig | Surgery | 601 Elmwood Ave, Rochester, NY 14642 | 2016-10-20 |
| 1386005221 | Health Quest Medicao Practice, PC | Surgery | 21 Reade Pl, Suite 3100, Poughkeepsie, NY 12601-3912 | 2016-03-18 |
| 1336555721 | Boris Dimitrov Hristov | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2014-07-07 |
| 1053733998 | Polikseni Eksarko | Surgery | 101 Nicolls Rd, Hcs T18-040, Stony Brook, NY 11794-8191 | 2014-01-13 |
| 1881030500 | Crystal C Whitney | Surgery | 750 E Adams St, Syracuse, NY 13210-2342 | 2013-05-21 |
| 1033477427 | Ryan S Lindborg | Surgery | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| 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.