Provider Demographics
NPI:1083700306
Name:SIKOWITZ, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SIKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 N GILBERT ST STE 2203
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4958
Mailing Address - Country:US
Mailing Address - Phone:732-740-7675
Mailing Address - Fax:732-842-0100
Practice Address - Street 1:55 N GILBERT ST STE 2203
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4958
Practice Address - Country:US
Practice Address - Phone:732-740-7675
Practice Address - Fax:732-842-0100
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA594582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6254101Medicaid
NJF25017Medicare UPIN
NJ6254101Medicaid