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

Keith Alan Christiansen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679724694

Keith Alan Christiansen, MD is an Urology in Fair Lawn, New Jersey. Graduated from Georgetown University School of Medicine in 2005, 21 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
21
Trained at
Georgetown University School of Medicine
Licensed in
NJ
In the registry since
2008
Specialties on file
2
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

14-01 Broadway Ste 3
Fair Lawn, NJ 07410-2008
Phone: (201) 855-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15-01 Broadway, Fair Lawn, NJ 07410-6003 — (201) 791-4544

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 25MA08972100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679724694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 8, 2008
Last updated in NPPESMay 15, 2018

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fair Lawn