Active NPI
Mina Shaker MD
- Clinic/Center
- Hackensack, NJ
National Provider Identifier
1104312446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MINA SHAKER MD
- Practice address
- 38 Summit Ave
Hackensack, NJ 07601 - Phone
- (201) 343-6360
- NPI assigned
- Jul 10, 2018
- Last updated
- Jul 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mina Shaker, MD
- Title
- MD
- Phone
- (201) 343-6360
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
38 Summit Ave
Hackensack, NJ 07601
Mailing address
38 Summit Ave
Hackensack, NJ 07601-1263
National Provider Directory
National Provider DirectoryLocations
38 Summit Ave
Hackensack, NJ 07601
Phone (201) 343-6360
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1770977852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532476800000",
"number": "1104312446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-343-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINA SHAKER MD",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-25",
"status": "A",
"authorized_official_last_name": "SHAKER",
"authorized_official_first_name": "MINA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "201-343-6360",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"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 Jul 25, 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.