HACKENSACK UNIVERSITY MEDICAL CENTER


Address: 360 Essex St, Suite 403, Hackensack, NJ 07601-8550
Phone: 5519968316

HACKENSACK UNIVERSITY MEDICAL CENTER (NPI# 1114348976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114348976
Entity Type Organization
Organization Name HACKENSACK UNIVERSITY MEDICAL CENTER
Practice Address 360 Essex St
Suite 403
Hackensack
NJ 07601-8550
Practice Telephone 5519968316
Practice Fax Number 5519968221
Mailing Telephone 5519968316
Mailing Fax Number 5519968221
Enumeration Date 2013-12-21
Last Update Date 2013-12-21
Authorized Official Name DR. RICHARD A WATSON (DIRECTOR OF RESIDENCY TRAINING)
Authorized Official Telephone 5519968316
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 25MA06270300 NJ Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952749913 Hackensack University Medical Center Chronic Disease Hospital 118 Charlton Ave # B, Hasbrouck Heights, NJ 07604-1508 2013-06-11
1992096374 Hackensack University Medical Center Pharmacy 92 2nd St, 1st Floor, Hackensack, NJ 07601-2105 2011-04-20
1386942100 Hackensack University Medical Center Ambulance 30 Prospect Ave, Hackensack, NJ 07601-1914 2011-03-02
1467657452 Hackensack University Medical Center General Acute Care Hospital 30 Prospect Ave, Hackensack, NJ 07601-1914 2007-06-19
1801952825 Hackensack University Medical Center Prosthetic/Orthotic Supplier 20 Prospect Ave, Suite 505, Hackensack, NJ 07601-1997 2006-12-28
1568551257 Hackensack University Medical Center Pharmacy 20 Prospect Ave, Ste 102, Hackensack, NJ 07601-1997 2006-10-12
1184649345 Hackensack University Medical Center General Acute Care Hospital 30 Prospect Ave, Hackensack, NJ 07601-1914 2006-07-12
1609862036 Hackensack University Medical Center General Acute Care Hospital 30 Prospect Ave, Hackensack, NJ 07601-1914 2005-09-21

Office Location

Street Address 360 ESSEX ST
SUITE 403
City HACKENSACK
State NJ
Zip Code 07601-8550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851392252 Kevin R Basralian Specialist 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 2005-08-09
1972802783 Melissa Serravallo Dermatology 360 Essex St, Suite 201, Hackensack, NJ 07601-8550 2011-03-18
1235451196 Ting F Lui Pharmacist 360 Essex St, Hackensack, NJ 07601-8550 2010-02-19
1164754552 Mark Ayirebi Ntiamoah Pharmacist 360 Essex St, Hackensack, NJ 07601-8550 2010-02-10
1700114931 Mohammad A Younus Allergy & Immunology 360 Essex St, Suite 302, Hackensack, NJ 07601-8550 2009-11-29
1164608840 So Yeon Lee Pharmacist 360 Essex St, Hackensack, NJ 07601-8550 2008-01-13
1598965675 Karen M Minnett Physical Therapist 360 Essex St, Suite 202, Hackensack, NJ 07601-8550 2007-07-18
1619182276 Yair David Kissin Orthopaedic Surgery 360 Essex St, Suite 303, Hackensack, NJ 07601-8550 2007-05-14
1689896722 Michelle J Kim Urology 360 Essex St, Dept of Urology, Hackensack, NJ 07601-8550 2007-05-02
1174663231 Jumana Shammout Specialist 360 Essex St, Suite # 402, Hackensack, NJ 07601-8550 2007-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989414 Alpha Healthcare Staffing Firm, LLC Registered Nurse 194 Passaic Street, Hackensack, NJ 07601 2020-10-15
1396350120 Lower Limb Institute Podiatrist 211 Esses Street, Suite 405, Hackesack, NJ 07601 2020-09-09
1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093192411 Nermarie Velazquez Urology 360 Essex St Ste 403, Hackensack, NJ 07601-8566 2015-05-05
1932373578 Daniel R Lowe Urology 20 Prospect Ave, Suite 915, Hackensack, NJ 07601-1997 2008-04-15
1689896722 Michelle J Kim Urology 360 Essex St, Dept of Urology, Hackensack, NJ 07601-8550 2007-05-02
1801839642 Debra Fromer Urology 360 Essex St, 403, Hackensack, NJ 07601-8550 2006-06-13
1487694543 Richard A Watson Urology 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 2006-06-07
1891741906 Ravi Munver Urology 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 2006-05-26
1225084825 Ihor Sawczuk Urology 360 Essex St, Hackensack, NJ 07601-8550 2006-05-25
1558320994 David Shin Urology 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 2006-03-23
1336118850 Hossein Sadeghi Nejad Urology 20 Prospect Ave, Suite 711, Hackensack, NJ 07601-1997 2006-03-16
1093716219 Gene S Rosenberg Urology 20 Prospect Ave, Suite 915, Hackensack, NJ 07601-1997 2005-08-10
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City HACKENSACK
Zip Code 07601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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