Organization Active NPI

Ralph R Hallac MD

  • Nephrology Physician
  • Englewood, NJ
National Provider Identifier
1851597454
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA34540 Issued in NJ
Legal business name
RALPH R HALLAC MD
Practice address
200 Grand Ave
Englewood, NJ 07631-4371
Phone
(201) 567-6599
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Mrs. Betsy Hallac
Title
Office Manager
Phone
(201) 567-6599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X MA34540 NJ Primary

Addresses

Primary practice location

200 Grand Ave
Englewood, NJ 07631-4371

Mailing address

44 Mariners CV
Edgewater, NJ 07020-1293

National Provider Directory

National Provider Directory

Locations

200 Grand Ave
Englewood, NJ 07631
Phone (201) 567-6599

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1851597454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MARINERS CV",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314371",
            "telephone_number": "201-567-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH R HALLAC MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "HALLAC",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-567-6599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA34540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.