NPIMap

Organization Active NPI

Hackensack University Medical Center

  • Urology Physician
  • Hackensack, NJ
National Provider Identifier
1114348976
Registry record updated Dec 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA06270300 Issued in NJ
Legal business name
HACKENSACK UNIVERSITY MEDICAL CENTER
Practice address
360 Essex St
Suite 403
Hackensack, NJ 07601-8550
Phone
(551) 996-8316
Fax
(551) 996-8221
NPI assigned
Dec 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2013

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

Authorized official

Name
Dr. Richard A Watson, M.D.
Title
Director of Residency Training
Phone
(551) 996-8316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 25MA06270300 NJ Primary

Addresses

Primary practice location

360 Essex St
Suite 403
Hackensack, NJ 07601-8550

Mailing address

360 Essex St
Suite 403
Hackensack, NJ 07601-8550
Phone (551) 996-8316

National Provider Directory

National Provider Directory

Locations

360 Essex St
Ste 403
Hackensack, NJ 07601
Phone (551) 996-8090

NPI Registry JSON

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

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387584000000",
    "number": "1114348976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST",
            "address_2": "SUITE 403",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018550",
            "telephone_number": "551-996-8316",
            "fax_number": "551-996-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST",
            "address_2": "SUITE 403",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018550",
            "telephone_number": "551-996-8316",
            "fax_number": "551-996-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-21",
        "last_updated": "2013-12-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENCY TRAINING",
        "authorized_official_telephone_number": "551-996-8316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA06270300",
            "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 21, 2013; 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.