Organization Active NPI

Hackensack Infectious Disease Associates, LLC

  • Infectious Disease Physician
  • Ridgewood, NJ
National Provider Identifier
1134626815
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA07276700 Issued in NJ
Legal business name
HACKENSACK INFECTIOUS DISEASE ASSOCIATES, LLC
Practice address
311 S Irving St
Ridgewood, NJ 07450-5101
Phone
(908) 464-3636
Fax
(908) 464-6711
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Dr. Rani Sebti, MD
Title
Owner
Phone
(908) 464-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X MA07276700 NJ Primary

Addresses

Primary practice location

311 S Irving St
Ridgewood, NJ 07450-5101

Mailing address

311 S Irving St
Ridgewood, NJ 07450-5101
Phone (908) 464-3636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1134626815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S IRVING ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505101",
            "telephone_number": "908-464-3636",
            "fax_number": "908-464-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S IRVING ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505101",
            "telephone_number": "908-464-3636",
            "fax_number": "908-464-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK INFECTIOUS DISEASE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "SEBTI",
        "authorized_official_first_name": "RANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-464-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA07276700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.