Organization Active NPI

Hudson Pediatric Cardiology Center Inc.

  • Medical Specialty Clinic/Center
  • Hoboken, NJ
National Provider Identifier
1831614858
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA09556600 Issued in NJ
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

Updated by the provider on Mar 7, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0434370MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.