Individual
DR. RANDY S NISSINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1278 HOOPER AVE, TOMS RIVER, NJ 08753-3324
(732) 505-0533
(732) 505-6572
Mailing address
1278 HOOPER AVE, TOMS RIVER, NJ 08753-3324
(732) 505-0533
(732) 505-6572
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00506100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043721860
TAX IDENTIFICATION
NJ
01
—
1316769
AETNA
NJ
01
—
1316770
AETNA
NJ
01
—
1316771
AETNA
NJ
01
—
203095550
TAX IDENTIFICATION
NJ
01
—
204100761
TAX IDENTIFICATION
NJ
01
—
204100926
TAX IDENTIFICATION
NJ
01
—
223791991
TAX IDENTIFICATION
NJ
01
—
22678
NVA
NJ
01
—
23545
NVA
NJ
01
—
23731
NVA
NJ
01
—
23793
NVA
NJ
01
—
2855956
AETNA
NJ
01
—
311501
NVA
NJ
01
—
3843273
AETNA
NJ
01
—
510661700
TAX IDENTIFICATION
NJ
01
—
62810
LOCAL 825 OPERATING ENGINEERS
NJ
01
—
911575
EYE MED
NJ
Enumeration date
05/18/2006
Last updated
05/09/2008
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