Prospect Medical Pc in Hackensack - Internal Medicine
Prospect Medical Pc - NPI 1346365905
Prospect Medical Pc is a Internal Medicine in Hackensack, New Jersey. Prospect Medical Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Prospect Medical Pc is 1346365905. The last update date is 2014-08-01.
Prospect Medical Pc's current location address is 277 Prospect Ave, Hackensack, New Jersey. You can contact this provider via phone number 2019681881 and fax number 2019680330. The mailing address for Prospect Medical Pc is 277 Prospect Ave, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prospect Medical Pc |
|---|---|
| Address | 277 Prospect Ave, Hackensack, New Jersey |
| Phone Number | 2019681881 |
| Fax Number | 2019680330 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sivendra Shan |
| Credentials | M.D. |
| Telephone Number | 2019681881 |
NPI Number Detail
| NPI Number | 1346365905 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2014-08-01 |
Provider Mailing Address Detail
| Address | 277 Prospect Ave |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 76012512 |
| Phone Number | 2019681881 |
| Fax Number | 2019680330 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 25MA06930200 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201403274 | NJ | TAX ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Prospect Medical Pc?
The Prospect Medical Pc has been issued the NPI (National Provider Identifier) 1346365905 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Prospect Medical Pc's facilities are geographically located?
The facilities of Prospect Medical Pc are physically situated at the following location: 277 Prospect Ave, Hackensack, NJ, 76012512.
What is Prospect Medical Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Prospect Medical Pc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did Prospect Medical Pc receive its 1346365905 assignment from the Centers for Medicare & Medicaid Services?
The Prospect Medical Pc was assigned its 1346365905 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Prospect Medical Pc's details last updated?
The information pertaining to the Prospect Medical Pc, including its address, specialty, and other details, was most recently updated on 2014-08-01.
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