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HACKENSACK EYE SURGERY CENTER NPI 1518130293


NPI Information

NPI: 1518130293
Provider Name: HACKENSACK EYE SURGERY CENTER
Classification: Technician/Technologist - 156FX1100X
Entity Type: Organization

Specialization: Ophthalmic

Address:
391 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-5191
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HACKENSACK EYE SURGERY CENTER is an ophthalmic technician technologist in Hackensack, NJ. HACKENSACK EYE SURGERY CENTER NPI is 1518130293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

391 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601-414
Phone: (201) 342-5191
Fax: (201) 487-0026

The provider's authorized official is Paul A Liva .
The authorized official title is Ophthalmology Doctor and has the following contact phone number (201) 342-5191.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 12/8/2008.


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
1156FX1100XTechnician/TechnologistOphthalmic25MA03541600NEW 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
1D19450MEDICARE UPINNEW JERSEY
24804560001MEDICARE NSCNEW 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

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