Justyna Nieradka (NPI# 1487205001, PAC ID# 9739512195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1487205001 |
| PAC ID by PECOS | 9739512195 |
| Professional Enrollment ID | I20191126001205 |
| Full Name | Justyna Nieradka |
| Organization Legal Name | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| Address |
47 Greenbrook Rd Fairfield NJ 07004-3890 |
| Phone Number | 8773455300 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951616697 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 412 S Van Brunt St, The Bristol Al At Englewood, Englewood, NJ 07631-4613 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 190 Park Ave, Florham Park, NJ 07932-1049 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 155 40th St, Irvington, NJ 07111-1184 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 311 S Livingston Ave, Iglemoor Rehab and Care Center, Livingston, NJ 07039-3927 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 215 Madison Ave, Madison, NJ 07940-1003 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 361 Speedwell Ave, Morris Plains, NJ 07950-2136 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 195 Old Tappan Rd, Old Tappan, NJ 07675-7042 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 100 W Ridgewood Ave, Careone At Cupola, Paramus, NJ 07652-2204 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 175 Quaker Church Rd, Randolph, NJ 07869-1415 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 685 Westwood Ave, River Vale, NJ 07675-6335 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 345 Eagle Rock Ave, Arbor Terrace Roseland, Roseland, NJ 07068-1768 | 8776455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 55 Hudson Ave, Tenafly, NJ 07670-1027 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 184 Berdan Ave, Wayne, NJ 07470-3232 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 1155 Pleasant Valley Way, West Orange, NJ 07052-1424 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 430 Chestnut Ridge Rd, Woodcliff Lake, NJ 07677-7604 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| Organization Legal Name | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy M Menkhaus | Physician Assistant | On Site Dermatology of New Jersey LLC | 90 Washington Valley Rd, Bedminster, NJ 07921-2118 |
| Colleen Sisson | Physician Assistant | On Site Dermatology of New Jersey LLC | 2021 Hwy 35, Wall Township, NJ 07719-3539 |
| Gina L Dicostanzo | Nurse Practitioner | On Site Dermatology of New Jersey LLC | 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 |
| Jason S Staback | Physician Assistant | On Site Dermatology of New Jersey LLC | 400 W Stimpson Ave, Linden, NJ 07036-4434 |
| Angelina Rose Mccurdy | Nurse Practitioner | On Site Dermatology of New Jersey LLC | 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 |
| Chelsea P Lynch | Physician Assistant | On Site Dermatology of New Jersey LLC | 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 |
| Parul S Mody | Physician Assistant | On Site Dermatology of New Jersey LLC | 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 |
| Ann Marie Hembrough | Physician Assistant | On Site Dermatology of New Jersey LLC | 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 |
| Erica A Derkits | Nurse Practitioner | On Site Dermatology of New Jersey LLC | 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 |
| Street Address |
47 GREENBROOK RD |
| City | FAIRFIELD |
| State | NJ |
| Zip | 07004-3890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny M Beil | Clinical Social Worker | Keith Golin Phd LLC | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 |
| Andrew B Lapides | Clinical Social Worker | Keith Golin Phd LLC | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 |
| Theresa M Murray | Clinical Social Worker | Keith Golin Phd LLC | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Pesner | Psychologist, Clinical | 271 Us 46, G101, Fairfield, NJ 07004 | |
| Arthur J Torre | Allergy/immunology | 25 Hollywood Ave, Fairfield, NJ 07004-1113 | |
| Paul Rudolph Scollo | Podiatry | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | |
| Carlo Opont | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| James M Maginnis | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Niranjan K Penupatruni | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Mary F Welsh | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Harendra Mehta | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Ricki M Henry | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Richard Masterson | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Find all physicians in zip 07004 | |||
| City | FAIRFIELD |
| Zip Code | 07004 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAIRFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Justyna Nieradka.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.