Hackensack Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

23065 Issued in NJ

Legal business name

HACKENSACK ENDOSCOPY CENTER, LLC

Practice address

170 Propect Ave
Suite 10
Hackensack, NJ 07601-1820

Phone

(201) 498-0030

Fax

(201) 708-6300

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joan Marie Balducci, RN

Title

Administrator

Phone

(201) 498-0030

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Sedarat, MD

  • Specialist
  • Hackensack, NJ
  • NPI 1366409310
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235192675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PROPECT AVE",
            "address_2": "SUITE 10",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011820",
            "telephone_number": "201-498-0030",
            "fax_number": "201-708-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PROPECT AVE",
            "address_2": "SUITE 10",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011820",
            "telephone_number": "201-498-0030",
            "fax_number": "201-708-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDUCCI",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-498-0030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackensack Cardiovascular Group, P.C
• Hackensack Center for Foot Surgery Inc
• Hackensack Critical Care & Pulmonary LLC
• Hackensack Digestive Disease Associates, P.a.
• Hackensack Emergency Dental and Implant Center PC
• Hackensack Eye Surgery Center
• Hackensack Eye Surgery Center
• Hackensack Foot and Ankle Center
• Hackensack Heights OB-GYN PC
• Hackensack Hospital

• Ambulatory Surgical Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.