Provider Demographics
NPI:1790810703
Name:HACKENSACK CARDIOVASCULAR GROUP, P.C
Entity Type:Organization
Organization Name:HACKENSACK CARDIOVASCULAR GROUP, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-457-3366
Mailing Address - Street 1:20 PROSPECT AVE
Mailing Address - Street 2:SUITE 809
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1997
Mailing Address - Country:US
Mailing Address - Phone:201-457-3366
Mailing Address - Fax:201-457-9050
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 809
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1997
Practice Address - Country:US
Practice Address - Phone:201-457-3366
Practice Address - Fax:201-457-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA063567207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ764453UKBMedicare ID - Type Unspecified
NJF77559Medicare UPIN