JEROLD MIKSZEWSKI MD
NPI 1215927736
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since October 26, 2005
3400 SPRUCE ST, 2 RAVDIN, PHILADELPHIA, PA 19104(215) 662-3606(215) 349-5579 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerold Mikszewski Md NPPES

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

JEROLD MIKSZEWSKI MD (NPI 1215927736) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD021941E) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1215927736
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJEROLD MIKSZEWSKICredential: MD
Location Address3400 SPRUCE ST, 2 RAVDINPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce St, 2 RavdinPhiladelphia, PA 19104-4238 · (215) 662-3606 · Fax (215) 349-5579
Fax(215) 349-5579
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateAugust 26, 2016
NPI 1215927736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in PA · MD021941E Licensed in VA · 0101030137
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 3

Medicare ID-Type Unspecified093814N70
Medicaid6150560VA
Medicare UPINB93309

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 Jerold Mikszewski's NPI number?

The NPI number for Jerold Mikszewski is 1215927736. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Jerold Mikszewski located?

Jerold Mikszewski practices at 3400 Spruce St 2 Ravdin, Philadelphia, PA 19104. The listed phone number is (215) 662-3606.

What is Jerold Mikszewski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

What insurance does Jerold Mikszewski accept?

Health plans from Providence Health Plan list Jerold Mikszewski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerold Mikszewski was last updated on August 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.