Organization Active NPI

Manoucher Katebian, M.D. PA

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1609049501
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA02875800 Issued in NJ
Legal business name
MANOUCHER KATEBIAN, M.D. PA
Practice address
274 Summit Ave
Hackensack, NJ 07601-1432
Phone
(201) 342-3800
Fax
(201) 343-7320
NPI assigned
Apr 11, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Manoucher Katebian
Title
Medical Doctor
Phone
(201) 342-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA02875800 NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA02875800 NJ Primary

Addresses

Primary practice location

274 Summit Ave
Hackensack, NJ 07601-1432

Mailing address

274 Summit Ave
Hackensack, NJ 07601-1432
Phone (201) 342-3800

National Provider Directory

National Provider Directory

Locations

274 Summit Ave
Hackensack, NJ 07601
Phone (201) 342-3800

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1609049501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011432",
            "telephone_number": "201-342-3800",
            "fax_number": "201-343-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011432",
            "telephone_number": "201-342-3800",
            "fax_number": "201-343-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOUCHER KATEBIAN, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KATEBIAN",
        "authorized_official_first_name": "MANOUCHER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "201-342-3800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA02875800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA02875800",
            "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 Jun 19, 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.

Verify at the official NPI Registry.