Active NPIIndividual provider

Ismar Dizdarevic, MD

Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Ridgewood, New Jersey

NPI Number1245525294
Practice location
85 S Maple Ave, Ridgewood, NJ 07450-4561
Fax
201-445-7471
Last updated
April 26, 2019

Ismar Dizdarevic is an Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery based in Ridgewood, NJ. Ismar Dizdarevic practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Ismar Dizdarevic is 1245525294 and holds a License No. 25MA10088800 (NJ). The current practice location address for Ismar Dizdarevic is 85 S Maple Ave, Ridgewood, NJ 07450-4561 and can be reached out via phone at 201-445-2830 and via fax at 201-445-7471.

Provider Profile Details

NPI Number
1245525294
Provider Name
Ismar Dizdarevic
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
85 S Maple Ave, Ridgewood, NJ 07450-4561
Phone Number
201-445-2830
Fax Number
201-445-7471
Sole Proprietor
No
Provider Enumeration Date
June 17, 2011
Last Update Date
April 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 S Maple Ave
Ridgewood, NJ 07450-4561
Zip
07450-4561
Phone Number
201-445-2830
Fax Number
201-445-7471
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
85 S Maple Ave
Ridgewood, NJ 07450-4561
City
Ridgewood
State
NJ
Zip
07450-4561
Phone Number
201-445-2830
Fax Number
201-445-7471

License Information

License Number
25MA10088800
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ismar Dizdarevic, MD?

The NPI number of Ismar Dizdarevic, MD is 1245525294. It was assigned on June 17, 2011 and is currently active in the NPPES registry.

What is the specialty of Ismar Dizdarevic, MD?

Ismar Dizdarevic, MD is registered under the primary taxonomy Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (code 207XS0114X), licensed in NJ under license number 25MA10088800.

Where does Ismar Dizdarevic, MD practice?

The practice location is 85 S Maple Ave, Ridgewood, NJ 07450-4561. The office can be reached at 201-445-2830 (phone) or 201-445-7471 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245525294 directly on the NPPES registry website.

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