Active NPI
Hudson Pediatric Cardiology Center Inc.
- Medical Specialty Clinic/Center
- Hoboken, NJ
National Provider Identifier
1831614858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 25MA09556600
- Legal business name
- HUDSON PEDIATRIC CARDIOLOGY CENTER INC.
- Practice address
- 36-42 Newark St Ste 302
Hoboken, NJ 07030-5655 - Phone
- (973) 879-9106
- NPI assigned
- Aug 10, 2017
- 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
- Mohy E Kotb
- Title
- Manager/MD
- Phone
- (973) 879-9106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 25MA09556600 | NJ | Primary |
Addresses
Primary practice location
36-42 Newark St Ste 302
Hoboken, NJ 07030-5655
Mailing address
36-42 Newark St Ste 302
Hoboken, NJ 07030-5655
Phone (201) 533-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0434370 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
33-41 Newark St
Ste 4C
Hoboken, NJ 07030
Phone (201) 892-2938
36-42 Newark St
Ste 302
Hoboken, NJ 07030
Phone (201) 533-0222
Interoperability endpoints
- https://api.platform.athenahealth.com/16695/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Hoboken, NJ
- NPI 1871739748
-
- Pediatric Cardiology Physician
- Somerset, NJ
- NPI 1376683300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1831614858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36-42 NEWARK ST STE 302",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305655",
"telephone_number": "201-533-0222",
"fax_number": "201-533-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36-42 NEWARK ST STE 302",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305655",
"telephone_number": "973-879-9106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON PEDIATRIC CARDIOLOGY CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-10",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "KOTB",
"authorized_official_first_name": "MOHY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGER/MD",
"authorized_official_telephone_number": "973-879-9106"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NJ",
"license": "25MA09556600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0434370",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.