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

Jan Idzikowski, PA

Individual provider Surgical Physician Assistant · NPI 1629074505

Jan Idzikowski, PA is a Surgical Physician Assistant in New London, New Hampshire. Licensed in Colorado and New Hampshire. Registered with an NPI since 2005.

Licensed in
CO, NH
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

273 County Rd
New London, NH 03257-5736
Phone: (603) 526-2911
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1188 (NH)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 585 (CO)

Record details

NPI number1629074505
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020