Provider Demographics
NPI:1316055148
Name:SKRIPKUS, ALDONA JULIA (MD)
Entity type:Individual
Prefix:DR
First Name:ALDONA
Middle Name:JULIA
Last Name:SKRIPKUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 KEARNY AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-2603
Mailing Address - Country:US
Mailing Address - Phone:201-991-4824
Mailing Address - Fax:201-991-7465
Practice Address - Street 1:381 KEARNY AVE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-2603
Practice Address - Country:US
Practice Address - Phone:201-991-4824
Practice Address - Fax:201-991-7465
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02259100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1413406Medicaid
NJF13452Medicare UPIN
NJ451748Medicare ID - Type Unspecified