DR. KENNETH T. CIESLAK (D.C.) – Athletic Trainer, NPI 1164539375
Athletic Trainer
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KENNETH T. CIESLAK (D.C.)
12, Osborne Terrace, Packanack Lake, Wayne, Passaic County, New Jersey, 07470, United States
WAYNE, NJ 074704362
Phone: (973) 709-0574
Type: Mailing
61, East Main Street, Bogota, Bergen County, New Jersey, 07603, United States
BOGOTA, NJ 076031369
Phone: (201) 390-1816
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221220000216 | I | Chiropractic | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 98940 | Chiropractic manipulative treatment, 1-2 spinal regions | 413 | 42 | $0 |
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | 86 | 11 | $0 |
Insurance plans in this area (ZIP 07470)
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