Organization Active NPI

Jeffrey B Danzig MD PC

  • Gastroenterology Physician
  • Ridgewood, NJ
National Provider Identifier
1275865461
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA54828 Issued in NJ
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

Updated by the provider on Oct 22, 2010

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0479101MedicaidNJ
01036584MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.