Active NPI
Doctors Place, Inc
- General Practice Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DOCTORS PLACE, INC
- Practice address
- 75 Summit Ave Ste 200
Hackensack, NJ 07601-8504 - Phone
- (201) 734-5853
- NPI assigned
- Dec 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chantal Gabriel
- Title
- Medical Director
- Phone
- (201) 734-5853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
75 Summit Ave Ste 200
Hackensack, NJ 07601-8504
Mailing address
226 State Street
#1018
Hackensack, NJ 07601-6451
Phone (201) 540-8647
Other names 1
- Doctors Place
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2245078 | Doctors Place, Inc | Certificate of waiver | Dec 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
226 State St
#1018
Hackensack, NJ 07601
75 Summit Ave
Ste 200
Hackensack, NJ 07601
Phone (201) 734-5853
75 Summit Ave
Ste 1
Hackensack, NJ 07601
75 Summit Ave
Ste 2
Hackensack, NJ 07601
Phone (201) 734-5853
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Hackensack, NJ
- NPI 1366584195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712448000000",
"number": "1659977015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 STATE STREET",
"address_2": "#1018",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016451",
"telephone_number": "201-540-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SUMMIT AVE STE 200",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076018504",
"telephone_number": "201-734-5853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS PLACE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-09",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A",
"authorized_official_last_name": "GABRIEL",
"authorized_official_first_name": "CHANTAL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "201-734-5853"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doctors Place",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.