HACKENSACK EYE SURGERY CENTER


Address: 391 Summit Ave, Hackensack, NJ 07601-1414
Phone: 2013425191

HACKENSACK EYE SURGERY CENTER (NPI# 1518130293) 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) 1518130293
Entity Type Organization
Organization Name HACKENSACK EYE SURGERY CENTER
Practice Address 391 Summit Ave
Hackensack
NJ 07601-1414
Practice Telephone 2013425191
Practice Fax Number 2014870026
Mailing Telephone 2013425191
Mailing Fax Number 2014870026
Enumeration Date 2008-04-02
Last Update Date 2008-12-08
Authorized Official Name DR. PAUL A LIVA (OPHTHALMOLOGY DOCTOR)
Authorized Official Telephone 2013425191
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1100X Technician/Technologist
Specialization: Ophthalmic
25MA03541600 NJ Eye and Vision Services Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083949622 Hackensack Eye Surgery Center Specialist 391 Summit Ave, Hackensack, NJ 07601-1414 2009-10-15

Office Location

Street Address 391 SUMMIT AVE
City HACKENSACK
State NJ
Zip Code 07601-1414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245293877 Paul A Liva Ophthalmology 391 Summit Ave, Hackensack, NJ 07601-1414 2006-04-06
1083949622 Hackensack Eye Surgery Center Specialist 391 Summit Ave, Hackensack, NJ 07601-1414 2009-10-15

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Taxonomy Information

Taxonomy Code 156FX1100X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ophthalmic

Taxonomy Definition

Definition to come...

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Competitor

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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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