MEDICARE: DR. JEFFREY BRIAN DANZIG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA05482800	NJ
2	207RG0100X	Gastroenterology Physician	25MA05482800	NJ

General Provider Information

NPI Number	:	1689653909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY BRIAN DANZIG M.D.

Provider Business Mailing Address
First Line	:	2 WINTHROP DR
Second Line	:
City	:	WOODCLIFF LAKE
State	:	NJ
Zip	:	07677-7856
Country	:	US
Telephone Number	:	201-476-1526
Fax Number	:	201-445-8556

Provider Business Practice Location Address
First Line	:	127 UNION ST
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-4478
Country	:	US
Telephone Number	:	201-445-8787
Fax Number	:	201-445-8556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	02/16/2026

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