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DR. KARAN OMIDVARI MD NPI 1962474742


NPI Information

NPI: 1962474742
Provider Name: DR. KARAN OMIDVARI, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: HACKENSACK UNIVERSITY MEDICAL GROUP PC

PECOS Registration: Yes

Address:
385 PROSPECT AVE STE 204
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-9190
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DR. Karan Omidvari, MD is a critical care medicine internal medicine in Hackensack, NJ with 36 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Karan Omidvari, MD NPI is 1962474742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

385 PROSPECT AVE STE 204
HACKENSACK, NJ
ZIP 07601-570
Phone: (551) 996-9190

The NPI 1962474742 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 1/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine219979NEW YORKNo
2207RC0200XInternal MedicineCritical Care Medicine139772NEW JERSEYYes
3207RP1001XInternal MedicinePulmonary Disease219979NEW YORKNo
4208M00000XHospitalistMA56381NEW JERSEYNo
5208M00000XHospitalist219979NEW YORKNo

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
125MA05638100OTHERNEW JERSEYSTATE LICENSE
280187MEDICAIDNEW 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

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.