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Contact Information

NICHOLAS D PANAGIOTOU, M.D, PH.D., M.S.
385 SOUTH MAPLE AVE
SUITE 107
RIDGEWOOD, NJ07450
 Phone: 201-447-3690
 Fax: 201-447-3691
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NICHOLAS D PANAGIOTOU · (Male)

NPI # 1316987019
Status Active
Credentials M.D, PH.D., M.S.
Entity Individual
Enumeration date 06/08/2006
Last updated 10/10/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MAO7320300
  • NJ Medicaid 8751102
Hospital affiliation(s)
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
  • HOLY NAME MEDICAL CENTER - (Acute Care)
    718 TEANECK RD
    TEANECK, NJ 07666
  • 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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