NPIMap

Organization Active NPI

Hackensack Psychiatric Group LLC

  • Psychiatry Physician
  • Hackensack, NJ
National Provider Identifier
1063994960
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HACKENSACK PSYCHIATRIC GROUP LLC
Practice address
211 Essex St Ste 204
Hackensack, NJ 07601-3245
Phone
(201) 487-1240
Fax
(201) 487-1241
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Jennifer Cruz
Title
Authorized Delegated Official
Phone
(201) 487-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

211 Essex St Ste 204
Hackensack, NJ 07601-3245

Mailing address

211 Essex St Ste 204
Hackensack, NJ 07601-3245
Phone (201) 487-1240

Other practice location 1

516 51st St Apt 1
West New York, NJ 07093-5553
Phone (201) 864-4897

Other practice location 2

65 Harristown Rd Ste 101
Glen Rock, NJ 07452-3317
Phone (201) 487-1240

National Provider Directory

National Provider Directory

Locations

65 Harristown Rd
Ste 101
Glen Rock, NJ 07452
Phone (201) 487-1240

211 Essex St
Ste 204
Hackensack, NJ 07601
Phone (201) 487-1240

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1063994960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013245",
            "telephone_number": "201-487-1240",
            "fax_number": "201-487-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013245",
            "telephone_number": "201-487-1240",
            "fax_number": "201-487-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 51st St Apt 1",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070935553",
            "country_code": "US",
            "telephone_number": "201-864-4897",
            "fax_number": "201-864-4871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Harristown Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074523317",
            "country_code": "US",
            "telephone_number": "201-487-1240",
            "fax_number": "201-487-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HACKENSACK PSYCHIATRIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AUTHORIZED DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "201-487-1240"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.