Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

New Jersey Keystone Physicians, PA

Organization Family Medicine Physician · NPI 1215123732

New Jersey Keystone Physicians, PA is a Family Medicine Physician in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 E Ridgewood Ave West Wing Second Fl
Ridgewood, NJ 07450-3957
Phone: (201) 447-3690
Fax: (201) 447-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MAO7320300 (NJ)

Record details

NPI number1215123732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Panagiotou — Medical Director · (201) 447-3690
NPI enumeratedSeptember 18, 2007
Last updated in NPPESMay 28, 2013
Mailing addressPo Box 115, Ridgewood, NJ 07451-0115

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