NPIMap

Organization Active NPI

Englewood Healthcare Associates PC

  • Specialist
  • Englewood, NJ
National Provider Identifier
1013146620
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA0621600 Issued in NJ
Legal business name
ENGLEWOOD HEALTHCARE ASSOCIATES PC
Practice address
200 Grand Ave Ste 202
Englewood, NJ 07631-4363
Phone
(201) 816-9266
Fax
(201) 816-9266
NPI assigned
Jul 6, 2009
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Mark Hodges, M.D.NPI 1881734168
Title
President
Phone
(201) 816-9266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA0621600 NJ Primary

Addresses

Primary practice location

200 Grand Ave Ste 202
Englewood, NJ 07631-4363

Mailing address

200 Grand Ave Ste 202
Englewood, NJ 07631-4363
Phone (201) 816-9266

National Provider Directory

National Provider Directory

Locations

12 E Palisade Ave
Englewood, NJ 07631
Phone (201) 337-5359

200 Grand Ave
Ste 202
Englewood, NJ 07631
Phone (201) 541-1220

Interoperability endpoints

  • FHIR API: https://epicproxy.et1073.epichosted.com/FHIRProxy/api/FHIR/R4/

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1013146620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRAND AVE STE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314363",
            "telephone_number": "201-816-9266",
            "fax_number": "201-816-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND AVE STE 202",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314363",
            "telephone_number": "201-816-9266",
            "fax_number": "201-816-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD HEALTHCARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-816-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA0621600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.