Hackensack Medical Group LLC
Internal Medicine in Hackensack, New Jersey
1649904772- Practice location
- 341 Essex St, Hackensack, NJ 07601-2048
- Phone
- 973-234-0779
- Fax
- 973-453-8059
- Last updated
- July 14, 2022
Hackensack Medical Group LLC is a healthcare organization based in Hackensack, NJ. Hackensack Medical Group LLC practices in Hackensack, NJ. The NPI Number for Hackensack Medical Group LLC is 1649904772. The current practice location address for Hackensack Medical Group LLC is 341 Essex St, Hackensack, NJ 07601-2048 and can be reached out via phone at 973-234-0779 and via fax at 973-453-8059.
Provider Profile Details
- NPI Number
- 1649904772
- Provider Name
- Hackensack Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 341 Essex St, Hackensack, NJ 07601-2048
- Phone Number
- 973-234-0779
- Fax Number
- 973-453-8059
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Lionel Anicette, MD · Medical Director · 973-234-0779
- Provider Enumeration Date
- July 14, 2022
- Last Update Date
- July 14, 2022
- Certification Date
- July 14, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 341 Essex St
Hackensack, NJ 07601-2048 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-2048
- Phone Number
- 973-234-0779
- Fax Number
- 973-453-8059
Provider Business Mailing Address Details
- Address
- 483 S Orange Ave
South Orange, NJ 07079-2642 - City
- South Orange
- State
- NJ
- Zip
- 07079-2642
- Phone Number
- 973-234-0779
- Fax Number
- 973-453-8059
License Information
- Taxonomy (1)
- Nursing Care · 251J00000X
- Taxonomy (2)
- Clinic/Center · 261Q00000X
- Taxonomy (3)
- Substance Abuse Rehabilitation Facility · 324500000X
- Taxonomy (4)
- Non-emergency Medical Transport (VAN) · 343900000X
- Taxonomy (5)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Hackensack Medical Group LLC?
The NPI number of Hackensack Medical Group LLC is 1649904772. It was assigned on July 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Hackensack Medical Group LLC?
Hackensack Medical Group LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Hackensack Medical Group LLC practice?
The practice location is 341 Essex St, Hackensack, NJ 07601-2048. The office can be reached at 973-234-0779 (phone) or 973-453-8059 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649904772 directly on the NPPES registry website.