MONA M TANTAWIMDPC NPI 1831264316

NPI Information

NPI: 1831264316
Provider Name: MONA M TANTAWI,MD,PC

Doing Business As: HACKENSACK PEDIATRICS

Classification: Clinic/Center - 261QC1800X
Entity Type: Organization

Specialization: Corporate Health

Address:
177 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 487-8222
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MONA M TANTAWI,MD,PC is a corporate health clinic center in Hackensack, NJ. MONA M TANTAWI,MD,PC NPI is 1831264316. The provider is registered as an organization entity type.
The provider Is Doing Business As Hackensack Pediatrics.

The provider's business location address is:

177 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601-311
Phone: (201) 487-8222
Fax: (207) 487-2126

The provider's authorized official is Mona M Tantawi .
The authorized official title is Presedent and has the following contact phone number (201) 487-8222.

The CLIA number assigned to this NPI record is 31D0111661 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.

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
1	261QC1800X	Clinic/Center	Corporate Health	25MA03599800	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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