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

Michael J Ciskowski, PA-C

Individual provider Physician Assistant · NPI 1619996402

Michael J Ciskowski, PA-C is a Physician Assistant in Wall Township, New Jersey. Qualified in 2004, 22 years ago. Practices with Orthonj LLC, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New Jersey.

Years since qualifying
22
Licensed in
CT, NJ
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4810 Belmar Blvd
Wall Township, NJ 07753-6952
Phone: (732) 938-6090
Fax: (732) 938-5680
Show map & directions

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

Additional practice locations (1)

  • 110 Rehill Ave, Somerville, NJ 08876-2519 — (908) 685-2200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00193800 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 001569 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00193800 (NJ)

Record details

NPI number1619996402
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address2 Worlds Fair Dr, Somerset, NJ 08873-1369

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Orthonj Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wall Township