Healthcare Provider Details

I. General information

NPI: 1366307027
Provider Name (Legal Business Name): CONNOR KAMISNKI AUD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SAND HILL RD STE 302
FLEMINGTON NJ
08822-4946
US

IV. Provider business mailing address

41 ROLLING LN
HAMILTON NJ
08690-2112
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-9131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number41YA00137900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: