Active NPIIndividual providerSole proprietor

Mrs. Elena M Zislin, PA

Physician Assistant in Ridgewood, New Jersey

NPI Number1669466298
Practice location
1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937
Fax
201-444-7363
Last updated
June 7, 2024

Elena M Zislin is a Physician Assistant based in Ridgewood, NJ. Elena M Zislin practices in Ridgewood, NJ and has the professional credentials of PA. The NPI Number for Elena M Zislin is 1669466298 and holds a License No. PA9102887 (FL). The current practice location address for Elena M Zislin is 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937 and can be reached out via phone at 201-444-0868 and via fax at 201-444-7363.

Provider Profile Details

NPI Number
1669466298
Provider Name
Elena M Zislin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937
Phone Number
201-444-0868
Fax Number
201-444-7363
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2005
Last Update Date
June 7, 2024
Certification Date
June 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave Ste 208
Ridgewood, NJ 07450-3937
Zip
07450-3937
Phone Number
201-444-0868
Fax Number
201-444-7363
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
513 Teal Plz
Secaucus, NJ 07094-2217
City
Secaucus
State
NJ
Zip
07094-2217
Phone Number
732-616-6841

License Information

License Number (1)
PA9102887
License State (1)
FL
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
25MP00165100
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Mrs. Elena M Zislin, PA?

The NPI number of Mrs. Elena M Zislin, PA is 1669466298. It was assigned on September 9, 2005 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elena M Zislin, PA?

Mrs. Elena M Zislin, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9102887.

Where does Mrs. Elena M Zislin, PA practice?

The practice location is 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937. The office can be reached at 201-444-0868 (phone) or 201-444-7363 (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 1669466298 directly on the NPPES registry website.

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