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GERALD NISSENBAUM MD
NPI 1144240565
Radiology - Diagnostic Radiology in Camden, NJ

Active since July 20, 2006
1600 HADDON AVE, CAMDEN, NJ 08103(888) 609-8116 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerald Nissenbaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD NISSENBAUM MD (NPI 1144240565) is an individual diagnostic radiology provider in Camden, New Jersey, licensed in New Jersey (25MA03764500) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1144240565
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGERALD NISSENBAUMCredential: MD
Location Address1600 HADDON AVECamden, NJ 08103-3117
Mailing AddressPo Box 31037Newark, NJ 07101 · (856) 616-8100 · Fax (856) 616-1919
Phone(888) 609-8116
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144240565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NJ · 25MA03764500
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1600 HADDON AVE, Camden, NJ 08103
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Other Identifiers 3

Medicare ID-Type Unspecified114547C48NJ
Medicare UPIND18729
Medicaid3673901NJ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER LYNN WILLIAMS
Registered Nurse
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 541-8710
OUR LADY OF LOURDES MEDICAL CENTER
Internal Medicine
1600 HADDON AVE, INTERNAL MEDICINE
CAMDEN, NJ 08103
Camden County (856) 757-3500
SUSHNI MUKKAMALLA MD
Student in an Organized Health Care Education/Training Program
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 757-3500
AMBER KLEIN APN-A CRNA
Nurse Anesthetist, Certified Registered
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 757-3500
MR. ROBERT RUGGERO R.PH.
Pharmacist
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 580-6331
JACQUELINE VERBARO
Physician Assistant
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (865) 757-3500
SHUBHAM GUPTA
Student in an Organized Health Care Education/Training Program
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (856) 757-3500
BRENDAN FITZPATRICK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1600 HADDON AVE
CAMDEN, NJ 08103
Camden County (610) 459-3113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Nissenbaum's NPI number?

The NPI number for Gerald Nissenbaum is 1144240565. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Gerald Nissenbaum located?

Gerald Nissenbaum practices at 1600 Haddon Ave, Camden, NJ 08103. The listed phone number is (888) 609-8116.

What is Gerald Nissenbaum's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Gerald Nissenbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.