Provider Demographics
NPI:1699845032
Name:BICSKEI, JOHN J (OT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:J
Last Name:BICSKEI
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70-72 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-2161
Mailing Address - Country:US
Mailing Address - Phone:973-875-1974
Mailing Address - Fax:973-875-1984
Practice Address - Street 1:70-72 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-2161
Practice Address - Country:US
Practice Address - Phone:973-875-1974
Practice Address - Fax:973-875-1984
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00066000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ095830UK0Medicare ID - Type Unspecified