Hackensack Vascular Center, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06378600 Issued in NJ

Legal business name

HACKENSACK VASCULAR CENTER, P.C.

Practice address

176 Summit Ave
Hackensack, NJ 07601-1310

Phone

(201) 996-9255

Fax

(201) 996-9243

NPI assigned

May 21, 2007

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angel Jesus Mulkay, M.D.

Title

Cardiologist

Phone

(201) 996-9255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1073721080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074580563",
            "telephone_number": "201-996-9255",
            "fax_number": "201-996-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011310",
            "telephone_number": "201-996-9255",
            "fax_number": "201-996-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK VASCULAR CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "MULKAY",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "201-996-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06378600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackensack University Medical Center
• Hackensack University Medical Center (Ellen H. Lazar Shoppe on Fifth)
• Hackensack University Medical Center (John Theurer Cancer Center Pharmacy)
• Hackensack University Medical Center Harp
• Hackensack University Medical Group, PC
• Hackensack Vascular Specialists LLC
• Hackensack Volunteer Ambulance Corps, Inc. (Hackensack Volunteer Ambulance Corps)
• Hackenscack University Medical Center Dialysis
• Andrew Haddad, M.D.
• Moussa Haddad, D.D.S

• Specialist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.