Active NPIIndividual provider

Justina M Deitz, DO

Internal Medicine, Endocrinology, Diabetes & Metabolism in Fair Lawn, New Jersey

NPI Number1699922880
Practice location
19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331
Fax
201-693-9965
Last updated
March 21, 2024

Justina M Deitz is an Internal Medicine, Endocrinology, Diabetes & Metabolism based in Fair Lawn, NJ. Justina M Deitz practices in Fair Lawn, NJ and has the professional credentials of DO. The NPI Number for Justina M Deitz is 1699922880 and holds a License No. 25MB08466800 (NJ). The current practice location address for Justina M Deitz is 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331 and can be reached out via phone at 201-620-3390 and via fax at 201-693-9965.

Provider Profile Details

NPI Number
1699922880
Provider Name
Justina M Deitz
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331
Phone Number
201-620-3390
Fax Number
201-693-9965
Sole Proprietor
No
Provider Enumeration Date
August 19, 2008
Last Update Date
March 21, 2024
Certification Date
March 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331
Zip
07410-2331
Phone Number
201-620-3390
Fax Number
201-693-9965
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
180 Engle St
Englewood, NJ 07631-2507
City
Englewood
State
NJ
Zip
07631-2507
Phone Number
201-567-2050
Fax Number
201-567-5070

License Information

License Number (1)
25MB08466800
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MB08466800
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X · 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 Justina M Deitz, DO?

The NPI number of Justina M Deitz, DO is 1699922880. It was assigned on August 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Justina M Deitz, DO?

Justina M Deitz, DO is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X), licensed in NJ under license number 25MB08466800.

Where does Justina M Deitz, DO practice?

The practice location is 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331. The office can be reached at 201-620-3390 (phone) or 201-693-9965 (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 1699922880 directly on the NPPES registry website.

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