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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 25MA06270300 | NJ | Allopathic & Osteopathic Physicians |
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 |
Street Address |
360 ESSEX ST SUITE 403 |
City | HACKENSACK |
State | NJ |
Zip Code | 07601-8550 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 07601 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
Find all providers in HACKENSACK |
City | HACKENSACK |
Zip Code | 07601 |
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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.