NPIMap

Organization Active NPI

New Jersey Trauma and Critical Care Associates, PC

  • Trauma Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1558313650
Registry record updated Nov 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
NEW JERSEY TRAUMA AND CRITICAL CARE ASSOCIATES, PC
Practice address
30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914
Phone
(201) 996-2816
Fax
(201) 343-9823
NPI assigned
May 17, 2006
Last updated
Nov 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2010

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

Authorized official

Name
Marilyn Emerson
Title
Director of Processional Services
Phone
(201) 996-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X NU Primary

Addresses

Primary practice location

30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914

Mailing address

30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914
Phone (201) 996-2816

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1558313650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "FACULTY PRACTICE OFFICE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "FACULTY PRACTICE OFFICE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2816",
            "fax_number": "201-343-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY TRAUMA AND CRITICAL CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DIRECTOR OF PROCESSIONAL SERVICES",
        "authorized_official_telephone_number": "201-996-5633"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.