Active NPI
Hudson Surgical Group PC
- Vascular Surgery Physician
- Jersey City, NJ
National Provider Identifier
1285605667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- HUDSON SURGICAL GROUP PC
- Practice address
- 17 Nardone St
Jersey City, NJ 07306 - Phone
- (201) 656-0646
- NPI assigned
- Feb 1, 2006
- 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
- Patrick J McGovern Jr., MD
- Title
- President
- Phone
- (973) 759-8002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
17 Nardone St
Jersey City, NJ 07306
Mailing address
12 Railroad Place
Belleville, NJ 07109
Phone (973) 759-8002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041103 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
12 Railroad Pl
Belleville, NJ 07109
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Jersey City, NJ
- NPI 1780756999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1285605667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 RAILROAD PLACE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "07109",
"telephone_number": "973-759-8002",
"fax_number": "973-759-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 NARDONE ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07306",
"telephone_number": "201-656-0646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON SURGICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "MCGOVERN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-759-8002",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2041103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.