OLD HOOK MEDICAL ASSOCIATES, LLC (NPI# 1720014830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720014830 |
| Entity Type | Organization |
| Organization Name | OLD HOOK MEDICAL ASSOCIATES, LLC |
| Other Organization Name | OLD HOOK MEDICAL ASSOCIATES SURGICENTER |
| Practice Address |
452 Old Hook Rd Emerson NJ 07630-1381 |
| Practice Telephone | 2016663900 |
| Practice Fax Number | 2012610505 |
| Mailing Telephone | 2016663900 |
| Mailing Fax Number | 2012610505 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | MR. JAIME LIJO (BILLING/CREDENTIALING) |
| Authorized Official Telephone | 2016663900 |
| Authorized Official Credential | CCS-P |
| Is Organization Subpart | Y |
| Parent Organization Name | OLD HOOK MEDICAL ASSOCIATES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1092980 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OLD HOOK MEDICAL ASSOCIATES SURGICENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225370356 | Old Hook Medical Associates, LLC | Non-Pharmacy Dispensing Site | 452 Old Hook Rd, Floor 2, Emerson, NJ 07630-1381 | 2013-03-27 |
| 1417998303 | Old Hook Medical Associates, LLC | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2006-06-09 |
| Street Address |
452 OLD HOOK RD |
| City | EMERSON |
| State | NJ |
| Zip Code | 07630-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009760 | Joel D Jacowitz | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2005-08-02 |
| 1275934325 | Humc Primary Care Associates | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2014-09-09 |
| 1831599976 | Kristina Abanes | Nurse Practitioner | 452 Old Hook Rd, Emerson, NJ 07630-1381 | 2014-08-26 |
| 1629489216 | Ellen Petak Jacowitz I | Counselor | 452 Old Hook Rd, Emerson, NJ 07630-1381 | 2014-05-16 |
| 1245660554 | Mary Barr | Nurse Practitioner | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2013-11-22 |
| 1225370356 | Old Hook Medical Associates, LLC | Non-Pharmacy Dispensing Site | 452 Old Hook Rd, Floor 2, Emerson, NJ 07630-1381 | 2013-03-27 |
| 1215222955 | Norma Walsky | Social Worker | 452 Old Hook Rd, Emerson, NJ 07630-1381 | 2011-06-10 |
| 1417241951 | Robert S.walsky Md, Pa | Surgery | 452 Old Hook Rd, Suite 302, Emerson, NJ 07630-1381 | 2011-06-01 |
| 1033413422 | Amy G Ali | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2010-12-29 |
| 1780912139 | Warren Glick | Nurse Practitioner | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986208 | Serene Mind, LLC | Counselor | 32 Lincoln Blvd, Emerson, NJ 07630 | 2020-06-09 |
| 1215451943 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2a, Emerson, NJ 07630 | 2017-08-03 |
| 1760725808 | Affinity Home Care Services | Home Health | 16 Chestnut Avenue, Suite 302 W, Emerson, NJ 07630 | 2013-03-27 |
| 1982768800 | Effie Sofos | Dentist | 309 Kinderkamack Rd, Emerson, NJ 07630 | 2006-12-22 |
| 1114936838 | Frederick William Denike | Dentist | 24 Emerson Plaza West, Emerson, NJ 07630 | 2006-08-05 |
| 1720007743 | Carnig C Shakarjian | Podiatrist | 99 Kinderkamack Rd, Emerson, NJ 07630 | 2006-07-19 |
| 1740257880 | Mona Patel | Psychiatry & Neurology | 70 Kinderkamack Road, Suite # 201, Emerson, NJ 07630 | 2006-03-08 |
| 1134643869 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 1b, Emerson, NJ 07630 | 2017-08-03 |
| 1942725601 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2b, Emerson, NJ 07630 | 2017-08-03 |
| 1023533783 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 3a, Emerson, NJ 07630 | 2017-08-03 |
| Find all providers in zip 07630 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447457403 | Bergen Gastroenterology PC | Clinic/Center | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811599 | Freedom Surgical Center, LLC | Clinic/Center | 1455 Broad St Ste 100, Bloomfield, NJ 07003-3039 | 2020-11-02 |
| 1477153237 | Jersey Ambulatory & Surgical Partners LLC | Clinic/Center | 1167 Mcbride Ave Ste 4, Woodland Park, NJ 07424-2543 | 2020-10-29 |
| 1144834987 | Center for Special Surgery of Lyndhurst LLC | Clinic/Center | 70 Ridge Rd Fl 2, Lyndhurst, NJ 07071-1216 | 2020-08-31 |
| 1164031118 | Progressive Surgical Center LLC | Clinic/Center | 630 E Palisade Ave Ste 2-100, Englewood, NJ 07632-1842 | 2020-07-27 |
| 1063031862 | Ganchi Plastic Surgery Center LLC | Clinic/Center | 246 Hamburg Tpke Ste 307, Wayne, NJ 07470-2161 | 2020-04-11 |
| 1023642154 | Nova Surgery Center LLC | Clinic/Center | 107 Monmouth Rd Ste 103, West Long Branch, NJ 07764-1021 | 2020-02-27 |
| 1780217034 | Modern Medicine Surgical Center, LLC | Clinic/Center | 633 From Rd, Paramus, NJ 07652-3514 | 2020-02-14 |
| 1629612437 | Asc of New Jersey LLC | Clinic/Center | 5 Progress St Ste 2, Edison, NJ 08820-1102 | 2019-11-05 |
| 1942841143 | Global Surgery Center LLC | Clinic/Center | 680 Kinderkamack Rd Ste 100, Oradell, NJ 07649-1600 | 2019-09-30 |
| 1710440045 | Access Care Physicians of Nj LLC | Clinic/Center | 2401 Morris Ave Ste W-112, Union, NJ 07083-5745 | 2019-04-12 |
| Find all providers with the same taxonomy | ||||
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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.