Individual provider Active NPI

Hugo D Kitzis, M.D.

  • Obstetrics & Gynecology Physician
  • Teaneck, NJ
National Provider Identifier
1902874506
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA02822800 Issued in NJ
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 968-1800
Fax
(201) 968-1814
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA28228 NJ
Obstetrics & Gynecology Physician 207V00000X 25MA02822800 NJ Primary

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050

Other practice location 1

20 Prospect Ave
Suite 805
Hackensack, NJ 07601-1997
Phone (201) 869-9792

Other practice location 2

235 Old River Rd.
Edgewater, NJ 07020-1575
Phone (201) 968-1800

Other practice location 3

158 14th St
Hoboken, NJ 07030-4439
Phone (201) 869-5488

Other practice location 4

7400 Bergenline Ave
North Bergen, NJ 07047-5449
Phone (201) 869-5488

Other practice location 5

1005 Clifton Ave Ste 205
Clifton, NJ 07013-3523
Phone (862) 238-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hugo.kitzis@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA28228NJMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1902874506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "856-669-6050",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-968-1800",
            "fax_number": "201-968-1814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Prospect Ave",
            "address_2": "SUITE 805",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011997",
            "country_code": "US",
            "telephone_number": "201-869-9792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Old River Rd.",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070201575",
            "country_code": "US",
            "telephone_number": "201-968-1800",
            "fax_number": "201-869-6944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 14th St",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070304439",
            "country_code": "US",
            "telephone_number": "201-869-5488",
            "fax_number": "201-869-6944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 Bergenline Ave",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070475449",
            "country_code": "US",
            "telephone_number": "201-869-5488",
            "fax_number": "201-869-6944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Clifton Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133523",
            "country_code": "US",
            "telephone_number": "862-238-8100",
            "fax_number": "862-238-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITZIS",
        "first_name": "HUGO",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA28228",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA02822800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hugo.kitzis@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "718 Teaneck Rd",
            "city": "Teaneck",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076664245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.