Joel S Nizin, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

MA44217 Issued in NJ

Practice address

1124 E Ridgewood Ave Ste 202
Ridgewood, NJ 07450-3941

Phone

(201) 689-9100

Fax

(201) 689-9108

NPI assigned

Sep 23, 2005

Last updated

Oct 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.05 of 100Reported as apm

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment NPD
• Colon & Rectal Surgery of North Jersey, L.L.C.

  • Colon & Rectal Surgery Physician
  • Ridgewood, NJ
  • NPI 1841527637
  Authorized official Same address or phone

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1972599025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE STE 202",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503941",
            "telephone_number": "201-689-9100",
            "fax_number": "201-689-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE STE 202",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503941",
            "telephone_number": "201-689-9100",
            "fax_number": "201-689-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZIN",
        "first_name": "JOEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "MA44217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MAI0505803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracia Nibigira
• Nikitas Nicholaides, MS, ATC, CSCS, CFST2
• Matthew Nicholas, LSW
• Nicole Liloia, LCSW, LLC
• Nihon Shika Group Ridgewood
• Nora Heflin Williams MD LLC
• Jacqueline Therese Norrell, DNP
• North East Laser Vein Institute LLC
• North Jersey Behavioral Counseling
• North Jersey Game on Physical Therapy Limited Partnership

• 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 Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.