| Diane Marie Niestepski, PA | |
|
653 Willow Grove St, Suite 2000, Hackettstown, NJ 07840-1732 | |
| (908) 684-3005 | |
| (908) 684-3301 |
| Full Name | Diane Marie Niestepski |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 653 Willow Grove St, Hackettstown, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508960543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00157300 (New Jersey) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 25MP00157300 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kessler Rehab Center | West orange, NJ | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Jersey Sports Medicine And Orthopedic Center, Llc | 6709895733 | 29 |
| Entity Name | North Jersey Sports Medicine & Orthopedic Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619025038 PECOS PAC ID: 6709895733 Enrollment ID: O20060419000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Marie Niestepski, PA 376 Lafayette Rd, Ste 202, Sparta, NJ 07871-3560 Ph: (908) 684-3005 | Diane Marie Niestepski, PA 653 Willow Grove St, Suite 2000, Hackettstown, NJ 07840-1732 Ph: (908) 684-3005 |
Mr. Jaymes Testa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-850-6800 |
Ms. Alison Jennifer Bratman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 Bilby Rd Ste 202, Hackettstown, NJ 07840 Phone: 908-509-1938 |
Annabel Walter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 651 Willow Grove St, Hackettstown, NJ 07840 Phone: 908-852-5100 |
Jillian M Diionno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57 Route 46 Ste 107, Hackettstown, NJ 07840 Phone: 908-813-9700 Fax: 908-813-2861 |
Michael Gundell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840 Phone: 908-684-3005 |
Bryan Linares, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17 Seber Rd Building 5, Hackettstown, NJ 07840 Phone: 908-452-5366 |
Olga Debrin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 254b Mountain Ave, Suite 201, Hackettstown, NJ 07840 Phone: 908-767-1089 Fax: 908-684-3065 |