NPIMap

Organization Active NPI

Hackensack University Medical Center

Doing business as Ellen H. Lazar Shoppe on Fifth

  • Prosthetic/Orthotic Supplier
  • Hackensack, NJ
National Provider Identifier
1801952825
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HACKENSACK UNIVERSITY MEDICAL CENTER
Doing business as
Ellen H. Lazar Shoppe on Fifth
Practice address
20 Prospect Ave
Suite 505
Hackensack, NJ 07601-1997
Phone
(201) 996-4400
NPI assigned
Dec 28, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Constance M. Niclas, CMF, RFM, BSN
Title
Supervisor
Phone
(201) 996-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

20 Prospect Ave
Suite 505
Hackensack, NJ 07601-1997

Mailing address

20 Prospect Ave
Suite 505
Hackensack, NJ 07601-1997
Phone (201) 996-4400

Other names 1

  • Ellen H. Lazar Shoppe on Fifth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
George B Jacobs MD45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

20 Prospect Ave
Ste 505
Hackensack, NJ 07601
Phone (201) 996-4400

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1801952825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 505",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 505",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "NICLAS",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "201-996-4400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMF, RFM, BSN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellen H. Lazar Shoppe on Fifth",
            "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 Jun 30, 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.