Provider Demographics
NPI:1770596421
Name:HACKENSACK MEDICAL IMAGING
Entity type:Organization
Organization Name:HACKENSACK MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:FAIZAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-487-5300
Mailing Address - Street 1:155 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5419
Mailing Address - Country:US
Mailing Address - Phone:201-487-5300
Mailing Address - Fax:201-487-5378
Practice Address - Street 1:155 STATE ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5419
Practice Address - Country:US
Practice Address - Phone:201-487-5300
Practice Address - Fax:201-487-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23128261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology