Healthcare Provider Details

I. General information

NPI: 1861475758
Provider Name (Legal Business Name): JOSEPH ONISHCHUK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 WHITE HORSE PIKE STE 3
BARRINGTON NJ
08007-1322
US

IV. Provider business mailing address

208 WHITE HORSE PIKE STE 3
BARRINGTON NJ
08007-1322
US

V. Phone/Fax

Practice location:
  • Phone: 856-617-6519
  • Fax: 856-617-0179
Mailing address:
  • Phone: 856-617-6519
  • Fax: 856-617-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number25MB05832000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: