Colon & Rectal Surgery of North Jersey, L.L.C.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

MA44217 Issued in NJ

Legal business name

COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C.

Practice address

140 Chestnut St
Suite Number 301
Ridgewood, NJ 07450-2599

Phone

(201) 689-9100

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joel Scott Nizin, M.D.

Title

Manager

Phone

(201) 689-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• North Jersey Colon & Rectal Sugery Associates, P.A. Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raffi E Agopian, M.D.

  • Colon & Rectal Surgery Physician
  • Venice, FL
  • NPI 1770584583
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1841527637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CHESTNUT ST",
            "address_2": "SUITE NUMBER 301",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502599",
            "telephone_number": "201-689-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHESTNUT ST",
            "address_2": "SUITE NUMBER 301",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502599",
            "telephone_number": "201-689-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "NIZIN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-689-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "MA44217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7970404",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MAI0505803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Jersey Colon & Rectal Sugery Associates, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caitlin Natalie Colditz, LAC
• Annette Lisa Coletta, L.P.C.
• Jacqueline Collard, DSW, LCSW
• Mary Catherine Collins, NURSE PRACTITIONER
• Radharani Collins, LPC, NCC
• Jessica Catherine Colucci, LAC
• Columbia Doctors of New Jersey, P. C.
• Complete Foot and Ankle Associates of Northern New Jersey LLC (Complete Foot and Ankle)
• Complete Vein & Vascular LLC
• Comprehensive Pediatric Care PC

• Colon & Rectal Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Colon & Rectal Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.