James Abbott

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hackensack, NJ

NPI 1568307957 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1568307957
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone
(551) 996-2485
NPI assigned
Apr 21, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-2485

Other providers in Hackensack, NJ

All providers in Hackensack, NJ · Student in an Organized Health Care Education/Training Program in New Jersey

Sources for this page

Verify at the official NPI Registry.