Hackensack University Medical Cener

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

License

26NO09947700 Issued in NJ

Legal business name

HACKENSACK UNIVERSITY MEDICAL CENER

Practice address

42 Lakewood Ter
Bloomfield, NJ 07003-3722

Phone

(973) 680-8733

NPI assigned

Oct 20, 2011

Last updated

Oct 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Soon Ja Oh, RN, BSNNPI 1902183676

Title

Staff Nurse

Phone

(201) 996-2000

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, and the practitioner matching its NPPES authorized official.

• Soon Ja Oh, APN

  • Primary Care Nurse Practitioner
  • Maywood, NJ
  • NPI 1902183676
  NPD (past) Authorized official

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1427333475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKEWOOD TERRACE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-680-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAKEWOOD TER",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033722",
            "telephone_number": "973-680-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK UNIVERSITY MEDICAL CENER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SOON JA",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "201-996-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NJ",
            "license": "26NO09947700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio Anthony Grugnale, D.C.
• Michael Guglielmino, LCSW
• Mary Guillermain
• Emma Gunther
• Justin Gutman, M.D.
• Dulce Bolivar Haley, LCSW BCD
• Annmarie Halpin, DMD
• Georgette B Hamwi
• Rimoun K Hanna, PT, DPT
• Paula Hargett, CRTT

• Oncology Clinic/Center in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Oncology Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.