Active NPI
Aleksandar Prvulovic
- Internal Medicine Physician
- Hackensack, NJ
National Provider Identifier
1902869779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07949700
- Practice address
- 385 Prospect Ave
N/a
Hackensack, NJ 07601-2570 - Phone
- (201) 487-1390
- Fax
- (201) 342-7962
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07949700 | NJ | Primary |
Addresses
Primary practice location
385 Prospect Ave
N/a
Hackensack, NJ 07601-2570
Mailing address
385 Prospect Ave
N/a
Hackensack, NJ 07601-2570
Phone (201) 487-1390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151104000260 | SC | Order and Referring Only - Internal Medicine | 4688695836 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902869779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 PROSPECT AVE",
"address_2": "N/A",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012570",
"telephone_number": "201-487-1390",
"fax_number": "201-342-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 PROSPECT AVE",
"address_2": "N/A",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076012570",
"telephone_number": "201-487-1390",
"fax_number": "201-342-7962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRVULOVIC",
"first_name": "ALEKSANDAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07949700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
- Prospect Psychiatric Services Limited Liability Company
- Prospect Women'S Health Center, LLC
- Prospect Women'S Medical Center
- Prospect Women'S Medical Group, P.C.
- Tracy Ann Proverbs-Singh, M.D.
- Psychiatric Associates LLP
- Maksim Ptushko, M.D.
- Ajay Kumar Puri, MD
- Matthew Putts, PHD, LPC, LRC
- John Bruce Puzio, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.