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

Krizelda Dizon

Individual provider Nurse Practitioner · NPI 1174275903

Krizelda Dizon is a Nurse Practitioner in Wayne, New Jersey. Qualified in 2019, 7 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

330 Ratzer Rd Ste B7
Wayne, NJ 07470-7704
Phone: (973) 317-0155
Fax: (973) 317-0149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ01163400 (NJ)

Record details

NPI number1174275903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 24, 2022
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing addressPo Box 416457, Boston, MA 02241-6457

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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