Hackensack NJ Medical Group PC

Internal Medicine Physician · Hackensack, NJ

Organization Active NPI

NPI number 1912151135

Practice location

92 Summit Ave
Hackensack, NJ 07601-1263
Phone
(201) 342-0066
Fax
(201) 342-0079

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NPI record

NPI
1912151135
Entity type
Organization (Type 2)
Enumeration date
November 14, 2008
Last updated
August 31, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 25MA08461900 NJ

Authorized official

Name
Dr. Ehab F Ibrahim, M.D.,
Title
CEO
Phone
(201) 342-0066

About Hackensack NJ Medical Group PC

Hackensack NJ Medical Group PC is a healthcare organization registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 92 Summit Ave, Hackensack, NJ 07601-1263. The NPI number 1912151135 was assigned on November 14, 2008 and the record was last updated on August 31, 2015.

Hackensack NJ Medical Group PC lists a license in the registry: #25MA08461900 (NJ) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Ehab F Ibrahim, M.D.,, CEO.

Frequently asked questions

What is the NPI number of Hackensack NJ Medical Group PC?

The NPI number is 1912151135.

What is the phone number of Hackensack NJ Medical Group PC?

The phone number listed for the practice location is (201) 342-0066.

Where is Hackensack NJ Medical Group PC located?

92 Summit Ave, Hackensack, NJ 07601-1263.

What is the taxonomy code for Hackensack NJ Medical Group PC?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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