Individual provider Active NPI

Nadia Mohsin Razzak, MD

  • Pediatrics Physician
  • Woodland Park, NJ
National Provider Identifier
1710167184
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08326100 Issued in NJ
Practice address
214 Lackawanna Ave
Woodland Park, NJ 07424-2976
Phone
(973) 582-0644
Fax
(973) 582-0605
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08326100 NJ Primary

Addresses

Primary practice location

214 Lackawanna Ave
Woodland Park, NJ 07424-2976

Mailing address

214 Lackawanna Ave
Woodland Park, NJ 07424-2976
Phone (973) 582-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08326100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidsneuro, LLC PastSince Jul 24, 2022 Accepting new patients
Woodland Park Pediatrics PC Pediatrics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1710167184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LACKAWANNA AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242976",
            "telephone_number": "973-582-0644",
            "fax_number": "973-582-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LACKAWANNA AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242976",
            "telephone_number": "973-582-0644",
            "fax_number": "973-582-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAK",
        "first_name": "NADIA",
        "middle_name": "MOHSIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08326100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.