Healthcare Provider Details

I. General information

NPI: 1316864218
Provider Name (Legal Business Name): CLAUDIA SIERZPUTOWSKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 ROUTE 23 NORTH SUITE 213
RIVERDALE NJ
07457-1603
US

IV. Provider business mailing address

15 W 27TH ST FL 11
NEW YORK NY
10001-7711
US

V. Phone/Fax

Practice location:
  • Phone: 973-434-1405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: