Active NPIIndividual providerSole proprietor

Ezra Hazan

Dermatology, MOHS-Micrographic Surgery in Paramus, New Jersey

NPI Number1649666975
Practice location
1 W Ridgewood Ave Ste 305, Paramus, NJ 07652-2361
Fax
201-445-8811
Last updated
October 26, 2026

Ezra Hazan is a Dermatology, MOHS-Micrographic Surgery based in Paramus, NJ. Ezra Hazan practices in Paramus, NJ. The NPI Number for Ezra Hazan is 1649666975 and holds a License No. 301085 (NY). The current practice location address for Ezra Hazan is 1 W Ridgewood Ave Ste 305, Paramus, NJ 07652-2361 and can be reached out via phone at 201-445-8786 and via fax at 201-445-8811.

Provider Profile Details

NPI Number
1649666975
Provider Name
Ezra Hazan
Provider Entity Type
Individual
Gender
Male
Address
1 W Ridgewood Ave Ste 305, Paramus, NJ 07652-2361
Phone Number
201-445-8786
Fax Number
201-445-8811
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Sole Proprietor
Yes
Provider Enumeration Date
April 14, 2015
Last Update Date
October 26, 2026
Certification Date
October 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 W Ridgewood Ave Ste 305
Paramus, NJ 07652-2361
Zip
07652-2361
Phone Number
201-445-8786
Fax Number
201-445-8811
Paramus, NJ 07652Get directions →

Provider Business Mailing Address Details

Address
715 Avenue I
Brooklyn, NY 11230-2711
City
Brooklyn
State
NY
Zip
11230-2711
Phone Number
917-699-6745

License Information

License Number
301085
License State
NY
Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary

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 Ezra Hazan?

The NPI number of Ezra Hazan is 1649666975. It was assigned on April 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Ezra Hazan?

Ezra Hazan is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in NY under license number 301085.

Where does Ezra Hazan practice?

The practice location is 1 W Ridgewood Ave Ste 305, Paramus, NJ 07652-2361. The office can be reached at 201-445-8786 (phone) or 201-445-8811 (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 1649666975 directly on the NPPES registry website.

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