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General NPI Number Information
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NPI Number | 1871114876
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Entity Type | Individual
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Provider Name | AUSTIN JAMES MISHKO DPM
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Gender | Male
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 315 ROUTE 31 SOUTH
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City | WASHINGTON
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State | NJ
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Zip | 07882-5656
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Country | US
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Telephone | 908-847-6858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-0454
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Fax | 239-343-1075
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00370800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO4560
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC007099
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License Number State | PA
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