Avigdor Izsak Niv, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

D0021503 Issued in MD

Practice address

2119 Sugarcone Rd
Baltimore, MD 21209-1027

Phone

(410) 486-8424

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346361524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 SUGARCONE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091027",
            "telephone_number": "410-486-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 SUGARCONE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091027",
            "telephone_number": "410-486-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIV",
        "first_name": "AVIGDOR",
        "middle_name": "IZSAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D0021503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Zane Nishikawa
• Javier Kenichi Nishikawa, MD
• McKenna Nishimoto
• Gabriela Nisly, MD
• Emily Rose Nitsch, COTA/L
• Philip Jaratsak Nivatpumin, MD
• Antoineka Nivens
• Angel Nixon-Bryant
• Damond Tyrell Nixon
• Jamerah Nixon

• Adult Reconstructive Orthopaedic Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.