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HACKENSACK SPECIALTY CARE ASSOCIATES PC NPI 1528011194


NPI Information

NPI: 1528011194
Provider Name: HACKENSACK SPECIALTY CARE ASSOCIATES, PC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
30 PROSPECT AVE
FACULTY PRACTICE OFFICE
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-5045
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HACKENSACK SPECIALTY CARE ASSOCIATES, PC is a neonatal-perinatal medicine pediatrics in Hackensack, NJ. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. HACKENSACK SPECIALTY CARE ASSOCIATES, PC NPI is 1528011194. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30 PROSPECT AVE
FACULTY PRACTICE OFFICE
HACKENSACK, NJ
ZIP 07601-914
Phone: (551) 996-5045
Fax: (201) 343-9823

The provider's authorized official is Ihor Sawczuk .
The authorized official title is President and has the following contact phone number (551) 996-5045.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/10/2013.


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
12086S0120XSurgeryPediatric SurgeryNo
2207X00000XOrthopaedic SurgeryNo
3207XX0005XOrthopaedic SurgerySports MedicineNo
4207T00000XNeurological SurgeryNo
52080N0001XPediatricsNeonatal-Perinatal 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
1080232MEDICARE 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: 11/14/2023

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