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JAN IDZIKOWSKI PA
NPI 1629074505
Physician Assistant - Surgical in New London, NH

Active since June 24, 2005
273 COUNTY RD, NEW LONDON, NH 03257(603) 526-2911 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jan Idzikowski Pa NPPES

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

JAN IDZIKOWSKI PA (NPI 1629074505) is an individual surgical provider in New London, New Hampshire, licensed in New Hampshire (1188) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1629074505
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJAN IDZIKOWSKICredential: PA
Location Address273 COUNTY RDNew London, NH 03257-5736
Mailing Address273 County RdNew London, NH 03257-5736
Phone(603) 526-2911
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateJanuary 8, 2020
✔ NPI 1629074505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in NH · 1188✔ Licensed in CO · 585
273 COUNTY RD, New London, NH 03257
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Other Identifiers 1

Medicaid42889057CO

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.

SHERRI DAWSON HODGDON RPH
Pharmacist
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-5261
SEAN BEARS MD
Surgery
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-5544
PINEAL BEKERE
Family Medicine
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-2911
MRS. KYLEIGH GUY APRN
Nurse Practitioner (Family)
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-5544
JEFFREY POWELL MD
Internal Medicine
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-5544
BRIAN JOSEPH FRENKIEWICH DO
Family Medicine
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-5544
PAUL ASENJO CRNA
Nurse Anesthetist, Certified Registered
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-2911
MRS. LISA MARIE TEMPLETON RPH
Pharmacist
273 COUNTY RD
NEW LONDON, NH 03257
Merrimack County (603) 526-5233

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 Jan Idzikowski's NPI number?

The NPI number for Jan Idzikowski is 1629074505. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Jan Idzikowski located?

Jan Idzikowski practices at 273 County Rd, New London, NH 03257. The listed phone number is (603) 526-2911.

What is Jan Idzikowski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jan Idzikowski was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.