Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FRED REZVANI
ActiveFRED REZVANI is a Specialist healthcare provider located in RIDGEWOOD, New Jersey. NPI 1104887694 is currently active in the NPPES registry. Verify at CMS.
Specialist · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1104887694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2006 (20.362677785985 yrs)
- Last Updated
- May 6, 2025
- License
-
25MA05115800 (NJ)
Practice Information
- Address
-
119 PROSPECT ST1ST FLOOR SUITE 1RIDGEWOOD, NJ, 074504405Browse NJ providers · Browse ZIP 07450
- Phone
- 2014441600
- Fax
- 2014448774
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in RIDGEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| ANN WEISSMAN | P.T. | 1467455840 |
| DR. BRUCE P MINDICH | M.D. | 1396714051 |
| DR. ALEX ZAPOLANSKI | M.D. | 1457320186 |
| ANDRZEJ ZAMECKI | M.D | 1043289564 |
| DR. WAYNE A. YANKUS | M.D. | 1376502484 |
| DR. JEFFREY LEVINE | MD | 1639137714 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.