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Contact Information

JOEL S NIZIN, MD
1124 E RIDGEWOOD AVE STE 202
RIDGEWOOD, NJ07450-3941
 Phone: 201-689-9100
 Fax: 201-689-9108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOEL S NIZIN · (Male)

NPI # 1972599025
Status Active
Credentials MD
Entity Individual
Enumeration date 09/23/2005
Last updated 10/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA44217
  • NJ Medicaid MAI0505803
Hospital affiliation(s)
  • VALLEY HOSPITAL - (Acute Care)
    223 N VAN DIEN AVENUE
    RIDGEWOOD, NJ 07450
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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