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

Dr. Mikhail Tismenetsky, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1205029212

Dr. Mikhail Tismenetsky, MD is a Pathology in Englewood, New Jersey. Graduated from Wayne State University School of Medicine in 2002, 24 years ago. Practices with Englewood Pathologists, PA, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
24
Trained at
Wayne State University School of Medicine
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Engle St
Englewood, NJ 07631-1808
Phone: (201) 894-1702
Fax: (201) 871-2269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 25MA08289600 (NJ)

Record details

NPI number1205029212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 22, 2007
Last updated in NPPESAugust 22, 2007

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Englewood Pathologists, Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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