Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. George W Sidrak, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194283085

Dr. George W Sidrak, DO is a Family Practice in Clifton, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2019, 7 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

852 Route 3
Clifton, NJ 07012-2343
Phone: (973) 450-1991
Fax: (973) 528-8009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB11236900 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194283085
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 9, 2019
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2019 (7 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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