JOEL S NIZIN


Address: 1124 E Ridgewood Ave Ste 202, Ridgewood, NJ 07450-3941
Phone: 2016899100

JOEL S NIZIN (NPI# 1972599025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972599025
Entity Type Individual
Full Name JOEL S NIZIN
Credential M.D.
Practice Address 1124 E Ridgewood Ave Ste 202
Ridgewood
NJ 07450-3941
Practice Telephone 2016899100
Practice Fax Number 2016899108
Mailing Telephone 2016899100
Mailing Fax Number 2016899108
Enumeration Date 2005-09-23
Last Update Date 2018-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery MA44217 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ MAI0505803 05

Office Location

Street Address 1124 E RIDGEWOOD AVE STE 202
City RIDGEWOOD
State NJ
Zip Code 07450-3941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770584583 Raffi E Agopian Colon & Rectal Surgery 1124 E Ridgewood Ave Ste 202, Ridgewood, NJ 07450-3941 2005-08-02
1225298722 Albert O Kwon Colon & Rectal Surgery 1124 E Ridgewood Ave Ste 202, Ridgewood, NJ 07450-3941 2008-06-10

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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
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770584583 Raffi E Agopian Colon & Rectal Surgery 1124 E Ridgewood Ave Ste 202, Ridgewood, NJ 07450-3941 2005-08-02
1841527637 Colon & Rectal Surgery of North Jersey, L.L.C. Colon & Rectal Surgery 140 Chestnut St, Suite Number 301, Ridgewood, NJ 07450-2599 2009-11-16
1225298722 Albert O Kwon Colon & Rectal Surgery 1124 E Ridgewood Ave Ste 202, Ridgewood, NJ 07450-3941 2008-06-10
1578759239 Ronald A White Md Colon & Rectal Surgery 127 Union St, Ridgewood, NJ 07450-4478 2007-09-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184911356 Matthew David Huk Colon & Rectal Surgery 435 South St Ste 360, Morristown, NJ 07960-6479 2011-07-07
1598055824 Gregory J Gallina Md PC Colon & Rectal Surgery 255 West Spring Valley Ave., # 103, Maywood, NJ 07607-1444 2011-04-07
1083829840 Raymond Frederick Crystal Colon & Rectal Surgery 325 Long Hill Dr, Short Hills, NJ 07078-1530 2007-05-14
1932260015 Ralph B Korkor Colon & Rectal Surgery 994 White Horse Ave, Hamilton Medical Building, Hamilton, NJ 08610-1428 2006-12-13
1952477986 Debra R Tarantino Colon & Rectal Surgery 231 Millburn Avenue, Millburn, NJ 07041-1718 2006-11-28
1801909007 Ocean Colon and Rectal Surgery, P.a. Colon & Rectal Surgery 1163 Route 37 W Ste D2, Toms River, NJ 08755-4975 2006-08-15
1609892231 Barash-white, Md, Pa Colon & Rectal Surgery 216 Engle St. #203, Englewood, NJ 07631 2006-07-15
1871539858 Daniel Lee Sadler Colon & Rectal Surgery 704 Route 202 South, Bridgewater, NJ 08807 2006-06-20
1659315760 Robert Eng Hong Khoo Colon & Rectal Surgery 44 Nautilus Dr Ste 201, Manahawkin, NJ 08050-2466 2006-06-16
1447217427 Alfred Francis Wolkomir Colon & Rectal Surgery 205 Maple Ave, Red Bank, NJ 07701-1727 2006-04-26
Find all providers with the same taxonomy

Competitor

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City RIDGEWOOD
Zip Code 07450

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Dataset Information

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.

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