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PROSPECT WOMEN'S MEDICAL CENTER NPI 1275571242


NPI Information

NPI: 1275571242
Provider Name: PROSPECT WOMEN'S MEDICAL CENTER
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 31D0938310

Address:
120 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-1600
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PROSPECT WOMEN'S MEDICAL CENTER is a specialist in Hackensack, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PROSPECT WOMEN'S MEDICAL CENTER NPI is 1275571242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601-256
Phone: (201) 342-1600

The provider's authorized official is Charles Straniero .
The authorized official title is Partner and has the following contact phone number (201) 342-1600.

The CLIA number assigned to this NPI record is 31D0938310 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/3/2006 and was last updated on 4/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist25MA02186100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB7339OTHERNEW JERSEYGROUP RAILROAD MEDICARE #
21323830001MEDICARE NSCNEW JERSEY
3490858OTHERNEW JERSEYGROUP AETNA #
4527769MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.