MR. MITCHELL DIZON (NPI# 1801497433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801497433 |
| Entity Type | Individual |
| Full Name | MR. MITCHELL DIZON |
| Practice Address |
1019 Columbus Ave Westfield NJ 07090-1619 |
| Practice Telephone | 9082398627 |
| Practice Fax Number | 5512780727 |
| Mailing Telephone | 9082398627 |
| Mailing Fax Number | 5512780727 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1019 COLUMBUS AVE |
| City | WESTFIELD |
| State | NJ |
| Zip Code | 07090-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427691054 | Re: Therapy, LLC | Counselor | 37 Elm St Ste 13, Westfield, NJ 07090 | 2019-10-27 |
| 1992270292 | Meagan Amy Thompson | Nurse Practitioner | 411 North Ave W Apt 309, Westfield, NJ 07090 | 2018-10-12 |
| 1184117079 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 244 Myrtle Avenue, Westfield, NJ 07090 | 2018-06-14 |
| 1275026163 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 753 Grandview Ave, Westfield, NJ 07090 | 2018-06-14 |
| 1003315433 | Galaxy Health Services LLC | Counselor | 330 Springfield Avenue, Westfield, NJ 07090 | 2018-02-12 |
| 1558801142 | Christine A Boffa | Occupational Therapist | 560 South Springfield Avenue, Westfield, NJ 07090 | 2017-03-01 |
| 1861944951 | Ruzanna Amram-paez | Speech-Language Pathologist | 121 S Eulclid Ave, Westfield, NJ 07090 | 2016-10-25 |
| 1528510625 | Melinda Sheehan | Speech-Language Pathologist | 121 South Eulclid Ave, Westfield, NJ 07090 | 2016-10-25 |
| 1831644780 | Theresa J Brown | Behavioral Analyst | 429 First Street, Westfield, NJ 07090 | 2016-08-22 |
| 1679939011 | Ryan Lupin | Hearing Instrument Specialist | 110a Central Ave., Westfield, NJ 07090 | 2016-01-14 |
| Find all providers in zip 07090 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558738898 | Timothy Momah | Spec/Tech, Pathology | 536 W Lake Ave, Rahway, NJ 07065-2537 | 2015-08-21 |
| 1316335409 | Amr A El Ellae | Spec/Tech, Pathology | 310 Woodstown Road, Salem, NJ 08079-2080 | 2014-12-26 |
| 1497897490 | Sarah Catherine Reid | Spec/Tech, Pathology | 1 Munro Ave, Cape May, NJ 08204-5000 | 2007-02-13 |
Please comment or provide details below to improve the information on MR. MITCHELL DIZON.
| 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.