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DR. NOAM NISSAN
NPI 1407583628
Radiology - Diagnostic Radiology in New York, NY

Active since August 07, 2022
1275 YORK AVE, NEW YORK, NY 10065(212) 639-5778 Get Directions Write a Review

NPPES record last updated: August 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Noam Nissan NPPES

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

DR. NOAM NISSAN (NPI 1407583628) is an individual diagnostic radiology provider in New York, New York, licensed in New York (11492401) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1407583628
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NOAM NISSAN
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 639-5778
Phone(212) 639-5778
Sole ProprietorNo
Enumeration DateAugust 7, 2022
NPPES CertifiedAugust 7, 2022
✔ NPI 1407583628 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 NY · 11492401
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1275 YORK AVE, New York, NY 10065
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Other Identifiers 1

Medicaid042341446NY

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. ZANA CORREA NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4450
MS. NICOLE NOELLE REYNOLDS NP
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 682-7326
MRS. SHARLENE SEECHARRAN RN, NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2203
CHRISTINA MADINABEITIA DURNEY
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-5164
ALISON GAIL MASSEY ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MICHAEL SCORDO
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
AMPARO G CAMACHO NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4417
DR. INES NIKOLOVSKI MBBS
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065
New York County (212) 639-2000

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 Noam Nissan's NPI number?

The NPI number for Noam Nissan is 1407583628. It was assigned to this individual provider in the NPPES registry on August 7, 2022.

Where is Noam Nissan located?

Noam Nissan practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-5778.

What is Noam Nissan'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 Noam Nissan was last updated on August 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.