COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C. (NPI# 1841527637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841527637 |
| Entity Type | Organization |
| Organization Name | COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C. |
| Other Organization Name | NORTH JERSEY COLON & RECTAL SUGERY ASSOCIATES, P.A. |
| Practice Address |
140 Chestnut St Suite Number 301 Ridgewood NJ 07450-2599 |
| Practice Telephone | 2016899100 |
| Mailing Telephone | 2016899100 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | DR. JOEL SCOTT NIZIN (MANAGER) |
| Authorized Official Telephone | 2016899100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MA44217 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7970404 | 05 | |
| NJ | MAI0505803 | 05 |
| Other Name | Type Code |
|---|---|
| North Jersey Colon & Rectal Sugery Associates, P.A. | Former Legal Business Name - Organization |
| Street Address |
140 CHESTNUT ST SUITE NUMBER 301 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620199 | John Alexander Co | Internal Medicine | 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2599 | 2006-04-22 |
| 1629357835 | Jennifer Hsieh | Internal Medicine | 140 Chestnut St, Suite 300, Ridgewood, NJ 07450-2599 | 2011-08-05 |
| 1336448497 | John A. Co, Md, LLC | Internal Medicine | 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2562 | 2011-03-15 |
| 1275862732 | Jay Paul Babich | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2009-12-12 |
| 1023296407 | Gastrointestinal Associates Pa | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2008-02-07 |
| 1073701686 | Better Breathing A Center for Respiratory & Sleep Medicine | Internal Medicine | 140 Chestnut St, Suite 200, Ridgewood, NJ 07450-2599 | 2007-10-09 |
| 1134244841 | Joseph Disaverio Md Pa | Surgery | 140 Chestnut St, Suite 301, Ridgewood, NJ 07450-2599 | 2007-03-20 |
| 1700915592 | North Jersey Pediatric Orthpedics Pa | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-03-05 |
| 1740331495 | Joseph Disaverio | Surgery | 140 Chestnut St, Suite 301, Ridgewood, NJ 07450-2599 | 2007-01-16 |
| 1437200672 | Douglas George Avella | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-01-15 |
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|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 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 Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| 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. |
| 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 |
| 1578759239 | Ronald A White Md | Colon & Rectal Surgery | 127 Union St, Ridgewood, NJ 07450-4478 | 2007-09-17 |
| 1972599025 | Joel S Nizin | Colon & Rectal Surgery | 1124 E Ridgewood Ave Ste 202, Ridgewood, NJ 07450-3941 | 2005-09-23 |
| 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 |
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| 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.