MICHAEL THEODORE KICENUIK MD NPI 1487652988

NPI Information

NPI: 1487652988
Provider Name: MICHAEL THEODORE KICENUIK, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
254 EASTON AVENUE
WOMEN'S HEALTH -CARES BUILDING 3 RD FLOOR
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 937-6003
Get Directions

Michael Theodore Kicenuik, MD is a gynecology obstetrics gynecology in New Brunswick, NJ. Michael Theodore Kicenuik, MD NPI is 1487652988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

254 EASTON AVENUE
WOMEN'S HEALTH -CARES BUILDING 3 RD FLOOR
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 937-6003
Fax: (732) 249-6140

The NPI 1487652988 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 9/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	25MA03343200	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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