Nizin, Joel S

Nizin, Joel S is an individual health care provider with primary practice located at 1124 E Ridgewood Ave Ste 202 , Ridgewood NJ 07450-3941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Nizin, Joel S can be contacted via phone (201) 689-9100.

Contact Information

Primary practice address
1124 E Ridgewood Ave Ste 202 Ridgewood NJ 07450-3941
Phone: (201) 689-9100
Fax: (201) 689-9108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MA44217 New Jersey

Profile Details

NPI number 1972599025
LBN Legal business name Nizin, Joel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 2nd, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972599025 NPPES
New Jersey MEDICAID MAI0505803

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