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COLON & RECTAL SURGERY OF NORTH JERSEY L.L.C. NPI 1841527637


NPI Information

NPI: 1841527637
Provider Name: COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C.

Former Legal Business Name: NORTH JERSEY COLON & RECTAL SUGERY ASSOCIATES, P.A.

Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
140 CHESTNUT ST
SUITE NUMBER 301
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 689-9100
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COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C. is a colon rectal surgery in Ridgewood, NJ. The provider is 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. COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C. NPI is 1841527637. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is North Jersey Colon & Rectal Sugery Associates, P.a..

The provider's business location address is:

140 CHESTNUT ST
SUITE NUMBER 301
RIDGEWOOD, NJ
ZIP 07450-599
Phone: (201) 689-9100

The provider's authorized official is Joel Scott Nizin .
The authorized official title is Manager and has the following contact phone number (201) 689-9100.

The enumeration date for this NPI number is 11/16/2009 and was last updated on 11/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal SurgeryMA44217NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1027955BLQMEDICARE PINNEW JERSEY
27970404MEDICAIDNEW JERSEY
3E13202MEDICARE UPINNEW JERSEY
4MAI0505803MEDICAIDNEW JERSEY
5G95630MEDICARE UPINNEW JERSEY
6526636MEDICARE PINNEW JERSEY
7160308BLQMEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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