Individual
DR. JAMIE K PIETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 ROUTE 46, BUDD LAKE, NJ 07828
(973) 691-1111
(973) 691-1198
Mailing address
125 ROUTE 46, BUDD LAKE, NJ 07828
(973) 971-7185
(973) 691-1198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200300079
NC
207Q00000X
Family Medicine Physician
Primary
25MA08032600
NJ
207Q00000X
Family Medicine Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137TM
NCBCBS
NC
05
—
89137TM
—
NC
01
—
P00171725
MEDICARE RAILROAD
NY
Enumeration date
07/12/2006
Last updated
02/20/2026
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