Active NPI
Jeffrey B Danzig MD PC
- Gastroenterology Physician
- Ridgewood, NJ
National Provider Identifier
1275865461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MA54828
- Legal business name
- JEFFREY B DANZIG MD PC
- Practice address
- 127 Union St
Ridgewood, NJ 07450-4478 - Phone
- (201) 445-8787
- Fax
- (201) 445-8556
- NPI assigned
- Feb 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey B Danzig, MD
- Title
- President
- Phone
- (201) 445-8787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MA54828 | NJ | Primary |
Addresses
Primary practice location
127 Union St
Ridgewood, NJ 07450-4478
Mailing address
2 Winthrop Dr
Woodcliff Lake, NJ 07677-7856
Phone (201) 445-8787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0479101 | Medicaid | NJ | |
| 01036584 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1275865461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WINTHROP DR",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076777856",
"telephone_number": "201-445-8787",
"fax_number": "201-445-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 UNION ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504478",
"telephone_number": "201-445-8787",
"fax_number": "201-445-8556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY B DANZIG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-12",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "DANZIG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-445-8787",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MA54828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0479101",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01036584",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.