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JACK E NISSIM M./D.
NPI 1316029291
Internal Medicine - Pulmonary Disease in Towson, MD

Active since October 19, 2006
7505 OSLER DR, 409, TOWSON, MD 21204(410) 321-5651(410) 583-0134 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack E Nissim M./d. NPPES

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

JACK E NISSIM M./D. (NPI 1316029291) is an individual pulmonary disease provider in Towson, Maryland, licensed in Maryland (D0012942) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1316029291
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJACK E NISSIMCredential: M./D.
Location Address7505 OSLER DR, 409Towson, MD 21204-7736
Mailing Address400 Redland Ct, Suite 208Owings Mills, MD 21117-3290 · (410) 494-7921 · Fax (410) 902-8247
Phone(410) 321-5651
Fax(410) 583-0134
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 28, 2012
✔ NPI 1316029291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MD · D0012942
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D0012942 (MD)
7505 OSLER DR, Towson, MD 21204
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Other Identifiers 8

Other274550United Healthcare
Other0005 E554MD · Blue Choice/fep
Other34438002 420AMD · Blue Shield
Medicare UPINC57616
Other290010917Railroad Medicare
Medicare ID-Type UnspecifiedK531130WMD
Medicaid789201200MD
Other4800034United Healthcare Mco

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.

JAMES CHARLES KLEEMAN JR. MD
Internal Medicine
7505 OSLER DR, SUITE 308
TOWSON, MD 21204
Baltimore County (410) 296-1464
EARL CRAIG MATTHEWS MD
Orthopaedic Surgery
7505 OSLER DR, SUITE 104
TOWSON, MD 21204
Baltimore County (410) 337-8888
JANIS LACOVARA, M.D.
Pediatrics
7505 OSLER DR, SUITE 207
BALTIMORE, MD 21204
Baltimore County (410) 337-2022
TIMOTHY LUBIN RPH
Pharmacist
7505 OSLER DR, #102
TOWSON, MD 21204
Baltimore County (410) 337-0557
DEBORAH SCHRADER
Pharmacist
7505 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 337-0557
RONALD SCHECHTER M.D.
Internal Medicine (Cardiovascular Disease)
7505 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 427-2580
DR. GARY MICHAEL VITA MD
Anesthesiology
7505 OSLER DR
TOWSON, MD 21204
Baltimore County (410) 337-5337
MARYLAND ONCOLOGY TOWSON P.A.
Internal Medicine (Hematology & Oncology)
7505 OSLER DR, SUITE 302
TOWSON, MD 21204
Baltimore County (410) 494-9099

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 Jack Nissim's NPI number?

The NPI number for Jack Nissim is 1316029291. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Jack Nissim located?

Jack Nissim practices at 7505 Osler Dr 409, Towson, MD 21204. The listed phone number is (410) 321-5651.

What is Jack Nissim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Jack Nissim was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.