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MACIEJ SKORUPSKI PA
NPI 1164369914
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since April 30, 2026
2004 RANDOLPH AVE, SAINT PAUL, MN 55105(507) 312-1545 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maciej Skorupski Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACIEJ SKORUPSKI PA (NPI 1164369914) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1164369914
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMACIEJ SKORUPSKICredential: PA
Location Address2004 RANDOLPH AVESaint Paul, MN 55105-1750
Mailing Address2004 Randolph AveSaint Paul, MN 55105-1750 · (507) 312-1545
Phone(507) 312-1545
Sole ProprietorYes
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1164369914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2004 RANDOLPH AVE, Saint Paul, MN 55105
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH ANN MADANAYAKE PT
Physical Therapist
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Ramsey County (651) 690-7737
DANG HONG PHAM
Student in an Organized Health Care Education/Training Program
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Ramsey County (651) 690-6000
CAROLYN ZIEBOL
Physician Assistant
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Ramsey County (800) 945-4599
VANESSA HARGENS
Registered Nurse (Medical-Surgical)
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Ramsey County (651) 690-6000
MEGHAN LEE REARDON PA-C
Physician Assistant
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Ramsey County (651) 690-6000
MICAELA FLORES
Student in an Organized Health Care Education/Training Program
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Ramsey County (651) 690-6000
MRS. ABBY EMMA MARIE EDGAR ATC/R
Specialist/Technologist (Athletic Trainer)
2004 RANDOLPH AVE, F-18
SAINT PAUL, MN 55105
Ramsey County (651) 690-6730
VICTORIA HOEHN PA-C
Physician Assistant
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Ramsey County (651) 690-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maciej Skorupski's NPI number?

The NPI number for Maciej Skorupski is 1164369914. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Maciej Skorupski located?

Maciej Skorupski practices at 2004 Randolph Ave, Saint Paul, MN 55105. The listed phone number is (507) 312-1545.

What is Maciej Skorupski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Maciej Skorupski was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.