Hackensack Heights OB-GYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MB05249900 Issued in NJ

Legal business name

HACKENSACK HEIGHTS OB-GYN PC

Practice address

150 Overlook Ave
Office # 1
Hackensack, NJ 07601-2206

Phone

(201) 342-1181

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Anna A. Collado, DO

Title

Owner

Phone

(201) 342-1191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1447587159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OVERLOOK AVE",
            "address_2": "OFFICE # 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012206",
            "telephone_number": "201-342-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OVERLOOK AVE",
            "address_2": "OFFICE # 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012206",
            "telephone_number": "201-342-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK HEIGHTS OB-GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-342-1191",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB05249900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.