Hackettstown Pediatrics Hospitalists, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

25MA06251200 Issued in NJ

Legal business name

HACKETTSTOWN PEDIATRICS HOSPITALISTS, LLC

Practice address

290 Union Blvd
Totowa, NJ 07512-2610

Phone

(973) 928-3342

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Yousef Abdulmisah, MD

Title

Incorporator

Phone

(973) 928-3342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1811394240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075110116",
            "telephone_number": "973-928-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122610",
            "telephone_number": "973-928-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKETTSTOWN PEDIATRICS HOSPITALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "ABDULMISAH",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "973-928-3342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "25MA06251200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Gillett, MS, RD
• Douglas Glazer, OD
• Gregory Tamagnini DPM LLC
• Richard John Gryzmolowicz, D.D.S.
• Michael Anthony Guarino, RPH.
• Jalil Haddad, PA
• Mina Pi Han, OD, MPH
• Gabriel Hannawi
• Seema Harisinghani
• Nadia Hassan

• Preferred Provider Organization in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.