Active NPI
Ralph R Hallac MD
- Nephrology Physician
- Englewood, NJ
National Provider Identifier
1851597454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MA34540
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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 DirectoryLocations
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.