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HACKENSACK GASTROENTEROLOGY ASSOCIATES NPI 1750459467


NPI Information

NPI: 1750459467
Provider Name: HACKENSACK GASTROENTEROLOGY ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
130 KINDERKAMACK RD
SUITE 301
RIVER EDGE, NJ
ZIP 07661
Phone: (201) 489-7772
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HACKENSACK GASTROENTEROLOGY ASSOCIATES is a specialist in River Edge, 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. HACKENSACK GASTROENTEROLOGY ASSOCIATES NPI is 1750459467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 KINDERKAMACK RD
SUITE 301
RIVER EDGE, NJ
ZIP 07661-939
Phone: (201) 489-7772
Fax: (201) 489-7411

The provider's authorized official is Arnold Jerome Leibowitz .
The authorized official title is President and has the following contact phone number (201) 489-7772.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 10/22/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist19460NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11871505420OTHERNEW JERSEYNPI NUMBER
2F26905MEDICARE UPINNEW JERSEY
31053323600OTHERNEW JERSEYNPI NUMBER
4589228NT9MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
5459860NT9MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
6E41927MEDICARE UPINNEW JERSEY
7I44178MEDICARE UPINNEW JERSEY
81316959976OTHERNEW JERSEYNPI NUMBER
9095448NT9MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
10E59911MEDICARE UPINNEW JERSEY
111679585236OTHERNEW JERSEYNPI NUMBER
12776486NT9MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 5/5/2024
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