Provider Demographics
NPI:1073776589
Name:AYDIN, NEBIL BILL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEBIL
Middle Name:BILL
Last Name:AYDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:140 N RTE 17
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2809
Mailing Address - Country:US
Mailing Address - Phone:201-345-0100
Mailing Address - Fax:201-820-0333
Practice Address - Street 1:140 N RTE 17
Practice Address - Street 2:SUITE 200
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2809
Practice Address - Country:US
Practice Address - Phone:201-345-0100
Practice Address - Fax:201-820-0333
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234202208600000X, 2086S0122X
NJ25MA087252002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03226271Medicaid