IndividualActive
Andrew Wasicki, PTA
NPI 1689507808 · Physical Medicine & Rehabilitation Physician · Belleville, NJ
Provider details
- NPI number
- 1689507808
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QB00234000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
246 Washington Ave
Belleville, NJ 07109-3730
Phone: (862) 285-4400
Approximate (ZIP-level) locationGet directions
Mailing address
15330 State Highway 97
Long Eddy, NY 12760-4112
Registry dates
- Enumerated
- 2026-06-06
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.