Organization Active NPI

Eric R. Nisenson

  • Durable Medical Equipment & Medical Supplies
  • Morris Plains, NJ
National Provider Identifier
1417124579
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
25MD00148000 Issued in NJ
Legal business name
ERIC R. NISENSON
Practice address
3 Sedgefield Dr
Morris Plains, NJ 07950-3032
Phone
(973) 539-7550
Fax
(973) 539-1395
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Eric R Nisenson, DPM
Title
Sole Proprietor
Phone
(973) 539-7550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 25MD00148000 NJ Primary
Durable Medical Equipment & Medical Supplies 332B00000X 0560000179 VT

Addresses

Primary practice location

3 Sedgefield Dr
Morris Plains, NJ 07950-3032

Mailing address

3 Sedgefield Dr
Morris Plains, NJ 07950-3032
Phone (973) 539-7550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1417124579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SEDGEFIELD DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503032",
            "telephone_number": "973-539-7550",
            "fax_number": "973-539-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SEDGEFIELD DR",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079503032",
            "telephone_number": "973-539-7550",
            "fax_number": "973-539-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R. NISENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "NISENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "973-539-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "25MD00148000",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VT",
            "license": "0560000179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.