Dr. Douglas R Ewing, M.D
Surgery in Paramus, NJ. Individual provider (NPI-1).
NPI number1245397017
StatusActive
Last updated in NPPESMar 27, 2009
Details
- NPI
- 1245397017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Douglas R Ewing
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2007
- Last updated
- Mar 27, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ma07594800 | NJ | Yes |
Practice location
81 E State Rt 435 Plaza Professional Center, Suite 401
Paramus, NJ 07652-2634
Phone 201-646-1121 · Fax 201-646-1110
Mailing address
81 E State Rt 435 Plaza Professional Center, Suite 401
Paramus, NJ 07652-2634
Phone 201-646-1121 · Fax 201-646-1110
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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