Nissinoff, Randy S
Nissinoff, Randy S is an individual health care provider with primary practice located at 1278 Hooper Ave , Toms River NJ 08753-3324. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nissinoff, Randy S can be contacted via phone (732) 505-0533.Contact Information
Primary practice address
1278 Hooper Ave
Toms River NJ 08753-3324
Phone: (732) 505-0533
Fax: (732) 505-6572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00506100 | New Jersey |
Profile Details
| NPI number | 1023061348 |
|---|---|
| LBN Legal business name | Nissinoff, Randy S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | May 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023061348 | NPPES |
| New Jersey | Other | 043721860 | TAX IDENTIFICATION |
| New Jersey | Other | 204100761 | TAX IDENTIFICATION |
| New Jersey | Other | 223791991 | TAX IDENTIFICATION |
| New Jersey | Other | 204100926 | TAX IDENTIFICATION |
| New Jersey | Other | 23545 | TAX IDENTIFICATION |
| New Jersey | Other | 1316769 | TAX IDENTIFICATION |
| New Jersey | Other | 23731 | TAX IDENTIFICATION |
| New Jersey | Other | 2855956 | TAX IDENTIFICATION |
| New Jersey | Other | 311501 | TAX IDENTIFICATION |
| New Jersey | Other | 22678 | TAX IDENTIFICATION |
| New Jersey | Other | 3843273 | TAX IDENTIFICATION |
| New Jersey | Other | 62810 | TAX IDENTIFICATION |
| New Jersey | Other | 911575 | TAX IDENTIFICATION |
| New Jersey | Other | 1316771 | TAX IDENTIFICATION |
| New Jersey | Other | 510661700 | TAX IDENTIFICATION |
| New Jersey | Other | 203095550 | TAX IDENTIFICATION |
| New Jersey | Other | 1316770 | TAX IDENTIFICATION |
| New Jersey | Other | 23793 | TAX IDENTIFICATION |
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