Healthcare Provider Details

I. General information

NPI: 1659101657
Provider Name (Legal Business Name): JANIS RADZISZEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANIS SULLIVAN

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FOREST CT
MORRIS PLAINS NJ
07950-2514
US

IV. Provider business mailing address

1 FOREST CT
MORRIS PLAINS NJ
07950-2514
US

V. Phone/Fax

Practice location:
  • Phone: 973-722-9693
  • Fax:
Mailing address:
  • Phone: 973-722-9693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: