Ennoble Hc Nj PC
Family Medicine, Geriatric Medicine in Hackensack, NJ. Organization (NPI-2).
Details
- NPI
- 1306500764
- Entity type
- Organization (NPI-2)
- Legal business name
- Ennoble Hc Nj PC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2021
- Certification date
- Nov 4, 2026
- Last updated
- Nov 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
Practice location
2 University PlzHackensack, NJ 07601-6202
Phone 973-435-9463
Mailing address
2 University Plaza DriveSuite 204
Hackensack, NJ 07601
Phone 973-241-1356
Other practice locations
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Phone 551-295-8223
Tucson, AZ 85701-1153
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Wilmington, DE 19801-1058
Phone 551-295-8223
Charlestown, MA 02129-1119
Phone 551-295-8223
Edmond, OK 73013-4064
Phone 551-295-8223
Jenkintown, PA 19046-2649
Phone 973-241-1356
Philadelphia, PA 19106-2608
Phone 973-241-1356
Voorhees, NJ 08043-3520
Phone 973-241-1356
Authorized official
Kushabhadra Das
Ceo
8628129010
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Geriatric Medicine (Family Medicine) Physician providers in Hackensack · All 3,808 providers in Hackensack
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