Provider Demographics
NPI:1689676983
Name:PASKOWSKI, ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:PASKOWSKI
Suffix:
Gender:F
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:PO BOX 419430
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-9430
Mailing Address - Country:US
Mailing Address - Phone:201-967-8221
Mailing Address - Fax:201-483-2242
Practice Address - Street 1:250 OLD HOOK RD
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3123
Practice Address - Country:US
Practice Address - Phone:201-781-1750
Practice Address - Fax:201-781-1753
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10419000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP1105922OtherOXFORD ID #
NY5057712OtherAETNA PPO ID #
NY000889OtherCONNECTICARE #
NY2111528OtherAETNA HMO ID #
NY25G583OtherEMPIRE BC/BS STONY PT. #
NY59G041OtherEMPIRE BC/BS NEW CITY #
NY000000052359OtherGHI HMO ID #
NY206565OtherHIP #
NY160048096OtherRAILROAD MDCR #
NY0203867OtherGHI PPO ID #
NYG87843Medicare UPIN
NY000889OtherCONNECTICARE #
NY160048096OtherRAILROAD MDCR #