ISMAR DIZDAREVIC (NPI# 1245525294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245525294 |
| Entity Type | Individual |
| Full Name | ISMAR DIZDAREVIC |
| Credential | M.D. |
| Practice Address |
85 S Maple Ave Ridgewood NJ 07450-4561 |
| Practice Telephone | 2014452830 |
| Practice Fax Number | 2014457471 |
| Mailing Telephone | 2014452830 |
| Mailing Fax Number | 2014457471 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2019-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
25MA10088800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
85 S MAPLE AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233634 | Arnold Criscitiello | Orthopaedic Surgery | 85 S Maple Ave, Ridgewood, NJ 07450 | 2005-05-31 |
| 1720692387 | Brett Ploshnick | Physical Therapist | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-09-01 |
| 1285245811 | Jessica I Deleon | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-08-17 |
| 1023629854 | Ammar Mustafa | Physical Therapist | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-08-14 |
| 1417508391 | Nirali Patel | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2019-09-23 |
| 1053888362 | Diana S Cronenberg | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-10-25 |
| 1962986703 | Nerricka Nalundasan | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-09-18 |
| 1336625623 | Victoria Rodriguez | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-07-19 |
| 1083109474 | Sydney Denault | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-06-27 |
| 1033628656 | Chelsea J. Mcclure | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2017-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952505398 | Mark M Pizzurro | Orthopaedic Surgery | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275924904 | North Jersey Orthopedic Sports Trauma Institute E LLC | Orthopaedic Surgery | 15-01 Broadway Ste 20, Fair Lawn, NJ 07410-6003 | 2015-02-17 |
| 1013197482 | Mercer Bucks Orthopaedics, P.C. | Orthopaedic Surgery | 111 Union Valley Road, Suite 102, Monroe Township, NJ 08831-6000 | 2007-11-13 |
| 1104021427 | Thomas Karoor John | Orthopaedic Surgery | 25 Prospect Ave., Hackensack, NJ 07601 | 2007-06-18 |
| 1518001072 | Michael G Absatz | Orthopaedic Surgery | 44 Musket Ln, Eatontown, NJ 07724-2448 | 2007-02-17 |
| 1801990361 | Christopher Edward Selgrath | Orthopaedic Surgery | 1225 Whitehorse Mercerville Rd Ste 220, Mercerville, NJ 08619 | 2006-09-12 |
| 1760593404 | Alfred J Tria Jr. | Orthopaedic Surgery | 1527 State Highway 27, Ste 1300, Somerset, NJ 08873 | 2006-08-31 |
| 1891714903 | Metropolitan Orthopaedics LLC | Orthopaedic Surgery | 17 Jauncey Ave, N Arlington, NJ 07031-4700 | 2006-07-19 |
| 1013944859 | David George Nazarian | Orthopaedic Surgery | 999 Route 73 N Ste 301, Marlton, NJ 08053-1227 | 2006-06-27 |
| 1407851355 | Donald R. Polakoff | Orthopaedic Surgery | 111 Union Valley Rd, Suite 102, Monroe, NJ 08831-6000 | 2005-06-16 |
| 1972508240 | Nicholas Alexander | Orthopaedic Surgery | 400 Franklin Tpke, Ste 100, Mahwah, NJ 07430-3517 | 2005-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.