HACKENSACK UNIVERSITY MEDICAL CENTER (NPI# 1801952825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801952825 |
| Entity Type | Organization |
| Organization Name | HACKENSACK UNIVERSITY MEDICAL CENTER |
| Other Organization Name | ELLEN H. LAZAR SHOPPE ON FIFTH |
| Practice Address |
20 Prospect Ave Suite 505 Hackensack NJ 07601-1997 |
| Practice Telephone | 2019964400 |
| Mailing Telephone | 2019964400 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MRS. CONSTANCE M. NICLAS (SUPERVISOR) |
| Authorized Official Telephone | 2019964400 |
| Authorized Official Credential | CMF, RFM, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Ellen H. Lazar Shoppe on Fifth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952749913 | Hackensack University Medical Center | Chronic Disease Hospital | 118 Charlton Ave # B, Hasbrouck Heights, NJ 07604-1508 | 2013-06-11 |
| 1114348976 | Hackensack University Medical Center | Urology | 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 | 2013-12-21 |
| 1992096374 | Hackensack University Medical Center | Pharmacy | 92 2nd St, 1st Floor, Hackensack, NJ 07601-2105 | 2011-04-20 |
| 1386942100 | Hackensack University Medical Center | Ambulance | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2011-03-02 |
| 1467657452 | Hackensack University Medical Center | General Acute Care Hospital | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2007-06-19 |
| 1568551257 | Hackensack University Medical Center | Pharmacy | 20 Prospect Ave, Ste 102, Hackensack, NJ 07601-1997 | 2006-10-12 |
| 1184649345 | Hackensack University Medical Center | General Acute Care Hospital | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-07-12 |
| 1609862036 | Hackensack University Medical Center | General Acute Care Hospital | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2005-09-21 |
| Street Address |
20 PROSPECT AVE SUITE 505 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769317 | William K Boss | Specialist | 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 | 2005-06-09 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| 1255988432 | Leila Ledesma-apolinario | Registered Nurse | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-08-21 |
| 1871061440 | Debbie Yiu | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-11-12 |
| 1942708128 | Maria Dei Tos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-01-23 |
| 1689115230 | Lauren Elyse Dipasquale | Audiologist | 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 | 2017-03-15 |
| 1609316579 | Dayra Soto | Nurse Practitioner | 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 | 2017-02-27 |
| 1538605456 | Shoshanah Ruth Haricha | Nurse Practitioner | 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 | 2017-01-17 |
| 1710431101 | Brandon Howard Md LLC | Internal Medicine | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2016-08-15 |
| 1518410349 | Veronica Rossi | Nurse Practitioner | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811012495 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 2 University Plz, Suite 111, Hackensack, NJ 07601-6202 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405673 | Harry J. Lawall & Son, Inc | Prosthetic/Orthotic Supplier | 1973 Highway 34 Harry J. Lawall & Son Inc., Wall, NJ 07719-0007 | 2020-10-22 |
| 1639789340 | Shantise Michelle Cranial Prosthesis | Prosthetic/Orthotic Supplier | 2816 Morris Ave Ste 20b, Union, NJ 07083-4849 | 2020-08-06 |
| 1477185015 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1810 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-4606 | 2020-02-11 |
| 1568020311 | Vine Beauty Supply | Prosthetic/Orthotic Supplier | 615 Rahway Ave, Woodbridge, NJ 07095-3437 | 2019-06-05 |
| 1871066142 | Hair Chalet Multicultural Hair Designers | Prosthetic/Orthotic Supplier | 1632 Springfield Ave, Maplewood, NJ 07040-2414 | 2019-01-09 |
| 1194291575 | Philadelphia Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 709 Somerdale Road, Voorhees, NJ 08043-1313 | 2018-10-23 |
| 1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
| 1053898379 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 5 Franklin Ave Ste 407, Belleville, NJ 07109-3565 | 2018-07-20 |
| 1104315639 | Next Step Orthopaedics, Inc. | Prosthetic/Orthotic Supplier | 26 Madison Ave Ste 5, Morristown, NJ 07960-7366 | 2018-05-10 |
| 1720580988 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 964 Kinderkamack Rd, River Edge, NJ 07661-2331 | 2018-03-05 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.