Active NPI
Hackensack Infectious Disease Associates, LLC
- Infectious Disease Physician
- Ridgewood, NJ
National Provider Identifier
1134626815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MA07276700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 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 DirectoryNPI 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.