Healthcare Provider Details

I. General information

NPI: 1437293180
Provider Name (Legal Business Name): MAGDALENA ANISKO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 LOCUST AVE FRNT SUITE
WALLINGTON NJ
07057-1300
US

IV. Provider business mailing address

42 LOCUST AVE FRNT SUITE
WALLINGTON NJ
07057-1300
US

V. Phone/Fax

Practice location:
  • Phone: 973-473-4033
  • Fax: 973-473-2988
Mailing address:
  • Phone: 973-473-4033
  • Fax: 973-473-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA071337
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: