Andrew Razin, M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA38155 Issued in NJ

Legal business name

ANDREW RAZIN, M.D., P.C.

Practice address

1567 Palisade Avenue
Suite 2 C
Fort Lee, NJ 07024-6923

Phone

(201) 944-4824

Fax

(201) 944-4824

NPI assigned

Oct 19, 2006

Reactivated

Feb 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew Michael Razin, MD

Title

President

Phone

(201) 944-4824

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1013099324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVENUE",
            "address_2": "SUITE 2 C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-944-4824",
            "fax_number": "201-944-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVENUE",
            "address_2": "SUITE 2 C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-944-4824",
            "fax_number": "201-944-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW RAZIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-02-22",
        "deactivation_date": "2008-02-20",
        "reactivation_date": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "RAZIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-944-4824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA38155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.