Highland Medical Group of New Jersey, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07388400 Issued in NJ

Legal business name

HIGHLAND MEDICAL GROUP OF NEW JERSEY, PC

Practice address

126 State St
FL 1
Hackensack, NJ 07601-5448

Phone

(973) 574-2070

Fax

(973) 574-2090

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Alexandr Zaitsev, M.D.

Title

Owner

Phone

(973) 574-2070

Specialties & licenses 1

Addresses

Other names 1

• Millennium Medical Group, PC Doing business as

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1679865604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4125",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744125",
            "telephone_number": "973-574-2070",
            "fax_number": "973-574-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 STATE ST",
            "address_2": "FL 1",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015448",
            "telephone_number": "973-574-2070",
            "fax_number": "973-574-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND MEDICAL GROUP OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "ZAITSEV",
        "authorized_official_first_name": "ALEXANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-574-2070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07388400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Medical Group, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Nicole Heyer, MD
• Mulenga Hibbert
• Richard H Hibbert, LCSW
• Sean M Hickey, MD
• High Mountain Medical PC
• Highland Medical Group, PC
• Rana Hijazi, M.D.
• Peter Basil Hilaris, D.P.M.
• Malone Vincent Hill III, MD
• Julia Hilliard, MD, MPH

• Specialist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.