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

Krista L Teresak, PA-C

Individual provider Physician Assistant · NPI 1992172969

Krista L Teresak, PA-C is a Physician Assistant in Ridgewood, New Jersey. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2015, 11 years ago. Practices with Orthonj LLC, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
11
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NJ, NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

85 S Maple Ave
Ridgewood, NJ 07450-4561
Phone: (201) 445-2830
Fax: (201) 445-7471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 784 Franklin Ave, Franklin Lakes, NJ 07417-1306 — (201) 560-0712

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00371500 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 022033 (NY)

Record details

NPI number1992172969
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2015
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2015 (11 years in practice)
Group practice Orthonj Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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