Provider Demographics
NPI:1073684486
Name:MATYSIAK, ADAM Z (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:Z
Last Name:MATYSIAK
Suffix:
Gender:M
Credentials:RPA-C
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Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:282 ROUTE 4
Practice Address - Street 2:CITYMD NJ URGENT WALK-IN CLINIC
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:551-222-0800
Practice Address - Fax:551-222-0801
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2023-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY005901363AM0700X
NJ25MP00291500363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical