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

Dr. Noam Nissan

Individual provider Diagnostic Radiology Physician · NPI 1407583628

Dr. Noam Nissan is a Diagnostic Radiology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-5778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 11492401 (NY)

Record details

NPI number1407583628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2022
Last updated in NPPESAugust 7, 2022
Certification dateAugust 7, 2022

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