Provider Demographics
NPI:1043252414
Name:HUDSON EYE PHYSICIANS & SURGEONS, LLC
Entity Type:Organization
Organization Name:HUDSON EYE PHYSICIANS & SURGEONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:CONSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-963-3937
Mailing Address - Street 1:600 PAVONIA AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2929
Mailing Address - Country:US
Mailing Address - Phone:201-963-3937
Mailing Address - Fax:201-963-8823
Practice Address - Street 1:600 PAVONIA AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2929
Practice Address - Country:US
Practice Address - Phone:201-963-3937
Practice Address - Fax:201-963-8823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5463410001Medicare NSC
NJ077307Medicare ID - Type UnspecifiedPROVIDER NUMBER