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Contact Information

KEITH P PASICHOW, MD
300 2ND AVE # C110
LONG BRANCH, NJ07740-6303
 Phone: 732-923-6210
 Fax: 888-487-1131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

2080H0002X 37 Physician/Pediatric Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for KEITH P PASICHOW · (Male)

NPI # 1366754517
Status Active
Credentials MD
Entity Individual
Enumeration date 07/04/2010
Last updated 11/03/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MD License # D0104049
  • NJ License # 25MA10208200
  • PA License # MD459333
  • NJ Medicaid 0682136
  • NY Medicaid 04301277
  • PA Medicaid 1035864390001
Hospital affiliation(s)
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • RARITAN BAY MEDICAL CENTER - (Acute Care)
    530 NEW BRUNSWICK AVE
    PERTH AMBOY, NJ 08861
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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