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

Individual provider Physician Assistant · NPI 1598823502

Steven J Wisniewski, PA is a Physician Assistant in Newark, Delaware. Qualified in 2005, 21 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
21
Licensed in
DE
In the registry since
2006
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.

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Practice location Address checks out

4735 Ogletown Stanton Rd Map Ii Suites 1201 & 1205
Newark, DE 19713-2072
Phone: (302) 733-1980
Fax: (302) 733-1986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C5-0000561 (DE)
Physician Assistant Taxonomy 363A00000X · Licence C5-0000561 (DE)

Record details

NPI number1598823502
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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