Dr Kenneth T Cieslak, DC is a
Specialist/technologist - Athletic Trainer based in Bogota, New Jersey. Dr Kenneth T Cieslak is licensed to practice in New Jersey (license number 25MT00033300) and his current practice location is
61 E Main St, Bogota, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 390-1816.
NPI number for Dr Kenneth T Cieslak is 1164539375 and his current mailing address is 12 Osborne Ter, Wayne, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164539375.
Healthcare Provider's Profile
| Full Name | Dr Kenneth T Cieslak |
|---|
| Gender | Male |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 61 E Main St, Bogota, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164539375
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Dr Kenneth T Cieslak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164539375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 38MC00490000 (New Jersey) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 25MT00033300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth T Cieslak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Kenneth T Cieslak, DC 12 Osborne Ter, Wayne, NJ 07470-4362 Ph: (973) 709-0574 | Dr Kenneth T Cieslak, DC 61 E Main St, Bogota, NJ 07603-1369 Ph: (201) 390-1816 |
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