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ELIZABETH KISELAK MD
NPI 1912296195
Surgery - Trauma Surgery in Hackensack, NY

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
5 SUMMIT AVE., SUITE 105, HACKENSACK, NY 07601(551) 996-2900 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2019, Oct 25, 2018 (2 updates tracked since 2018).

About Elizabeth Kiselak Md NPPES

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

ELIZABETH KISELAK MD (NPI 1912296195) is an individual trauma surgery provider in Hackensack, New York, licensed in New Jersey (25MA09907400) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1912296195
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameELIZABETH KISELAKCredential: MD
Location Address5 SUMMIT AVE., SUITE 105Hackensack, NY 07601
Mailing Address5 Summit Ave Ste 105Hackensack, NJ 07601-1271 · (551) 996-2900
Phone(551) 996-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration
✔ NPI 1912296195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in NJ · 25MA09907400
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 25MA09907400 (NJ)
5 SUMMIT AVE., Hackensack, NY 07601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Kiselak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779857446
PECOS Enrollment IDI20170919001417
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Kiselak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.
6.0 mi
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000
St Josephs Medical Group PC
6.0 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

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 Elizabeth Kiselak's NPI number?

The NPI number for Elizabeth Kiselak is 1912296195. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Elizabeth Kiselak located?

Elizabeth Kiselak practices at 5 Summit Ave. Suite 105, Hackensack, NY 07601. The listed phone number is (551) 996-2900.

What is Elizabeth Kiselak's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Elizabeth Kiselak enrolled in Medicare?

Yes. Elizabeth Kiselak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Kiselak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Kiselak reassigns Medicare benefits to 2 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ) and St Josephs Medical Group PC (Paterson, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Kiselak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Kiselak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Elizabeth Kiselak 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.

Is Elizabeth Kiselak affiliated with any hospitals?

According to CMS data, Elizabeth Kiselak is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Elizabeth Kiselak was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.