Individual
MR. KENNETH A CITAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EAST RIDGEWOOD AVE, EAST WING 2ND FLOOR, RIDGEWOOD, NJ 07450
(201) 444-0868
(201) 493-0797
Mailing address
1200 EAST RIDGEWOOD AVE, EAST WING 2ND FLOOR, RIDGEWOOD, NJ 07450
(201) 444-0868
(201) 493-0797
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA55879
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4574206
—
NJ
Enumeration date
04/13/2006
Last updated
07/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us