ENNOBLE HC NJ III PC
NPI 1043192099
Family Medicine - Geriatric Medicine in Hackensack, NJ

NPI Status: Active since July 22, 2025

Contact Information

2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ
ZIP 07601
Phone: (551) 295-8223

Get Directions Write a Review

  • Organization
  • Family Medicine
  • Geriatric Medicine

About ENNOBLE HC NJ III PC

This page provides the complete NPI Profile along with additional information for Ennoble Hc Nj Iii Pc, a primary care provider established in Hackensack, New Jersey operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1043192099 assigned on July 2025. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mark Bradshaw Md (Owner)

NPI
1043192099
Provider Name
ENNOBLE HC NJ III PC
Entity Type
Organization
Location Address
2 UNIVERSITY PLZ STE 204 HACKENSACK, NJ 07601
Location Phone
(551) 295-8223
Mailing Address
2 UNIVERSITY PLZ STE 204 HACKENSACK, NJ 07601
Mailing Phone
(551) 295-8223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2025
Last Update Date
08-29-2025
Code Navigator

A primary care provider (PCP) like Ennoble Hc Nj Iii Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 101 Greenwood Ave Ste 140
    Jenkintown, PA 19046
    (973) 241-1356
  • 325 Chestnut St Ste 800
    Philadelphia, PA 19106
    (973) 241-1356
  • 1000 Haddonfield Berlin Rd Ste 205
    Voorhees, NJ 08043
    (973) 241-1356
  • 101 W Hefner Rd
    Oklahoma City, OK 73114
    (405) 896-8058
  • 3209 S Broadway Ste 229
    Edmond, OK 73013
    (551) 295-8223

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK BRADSHAW MD

Authorized Official Title
OWNER
Authorized Official Phone
(678) 665-2618

Reviews for ENNOBLE HC NJ III PC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043192099, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 1 → 2 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 2 + 9 + 4 + 0 + 1 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1043192099.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Family Medicine (Geriatric Medicine)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Primary Care)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Primary Care)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Family Medicine (Adult Medicine)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043192099, enumerated as an "organization" on July 22, 2025.

The provider is located at 2 UNIVERSITY PLZ STE 204 HACKENSACK, NJ 07601 and the phone number is (551) 295-8223.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.