Provider Type Icon

HACKENSACK UNIVERSITY MEDICAL GROUP PC NPI 1215989249


NPI Information

NPI: 1215989249
Provider Name: HACKENSACK UNIVERSITY MEDICAL GROUP, PC

Former Legal Business Name: NORTH JERSEY PRIMARY CARE ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
30 PROSPECT AVE
FACULTY PRACTICE, TRAILER
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-2816
Get Directions

HACKENSACK UNIVERSITY MEDICAL GROUP, PC is an internal medicine in Hackensack, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HACKENSACK UNIVERSITY MEDICAL GROUP, PC NPI is 1215989249. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is North Jersey Primary Care Associates.

The provider's business location address is:

30 PROSPECT AVE
FACULTY PRACTICE, TRAILER
HACKENSACK, NJ
ZIP 07601-914
Phone: (551) 996-2816
Fax: (551) 996-0855

The provider's authorized official is Ihor S Sawczuk .
The authorized official title is President and has the following contact phone number (551) 996-3600.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/9/2013.


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
1204F00000XTransplant SurgeryNo
2207PE0004XEmergency MedicineEmergency Medical ServicesNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4207X00000XOrthopaedic SurgeryNo
5208000000XPediatricsNo
6208M00000XHospitalistNo
7208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
82084P0800XPsychiatry & NeurologyPsychiatryNo
92086S0102XSurgerySurgical Critical CareNo
10207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
11208800000XUrologyNo
12207ND0101XDermatologyMOHS-Micrographic SurgeryNo
13207NP0225XDermatologyPediatric DermatologyNo
14207SG0201XMedical GeneticsClinical Genetics (M.D.)No
15207R00000XInternal MedicineYes

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
1811583MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2CN6543OTHERRR MEDICARE
37501307MEDICAIDNEW JERSEY
4X06757MEDICARE UPIN

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.