Individual
DR. NATHANIEL KHEYSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 HARRISTOWN RD, STE 302, GLEN ROCK, NJ 07452
(201) 797-5100
(201) 797-4160
Mailing address
1 CORPORATE DRIVE, WAYNE, NJ 07470-3112
(973) 987-3380
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA12721100
NJ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
25MA12721100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA12721100
STATE
NJ
Enumeration date
03/31/2020
Last updated
09/27/2025
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