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

Active since July 22, 2025
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601(551) 295-8223 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ennoble Hc Nj Iii Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENNOBLE HC NJ III PC (NPI 1043192099) is a healthcare organization registered as a geriatric medicine in Hackensack, New Jersey and active in the NPI registry since July 2025. The organization maintains 5 additional practice locations and lists Mark Bradshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1043192099
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameENNOBLE HC NJ III PC
Location Address2 UNIVERSITY PLZ STE 204Hackensack, NJ 07601-6211
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223
Phone(551) 295-8223
Organization SubpartNo
Authorized OfficialMark BradshawOwner · (678) 665-2618
Enumeration DateJuly 22, 2025
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1043192099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
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.
2 UNIVERSITY PLZ STE 204, Hackensack, NJ 07601
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Secondary Practice Locations 5

Location 1325 Chestnut St Ste 800Philadelphia, PA 19106-2608 · Phone (973) 241-1356
Location 2101 Greenwood Ave Ste 140Jenkintown, PA 19046-2627 · Phone (973) 241-1356
Location 31000 Haddonfield Berlin Rd Ste 205Voorhees, NJ 08043-3520 · Phone (973) 241-1356
Location 4101 W Hefner RdOklahoma City, OK 73114-6631 · Phone (405) 896-8058
Location 53209 S Broadway Ste 229Edmond, OK 73013-4064 · Phone (551) 295-8223

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREEANA DICKSON
Nurse Practitioner
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 435-9463
ELIZABETH SOBECK APN
Nurse Practitioner (Adult Health)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 241-1356
BRENNA MELICK
Nurse Practitioner (Acute Care)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223
TAYLOR NOELLE PALMER
Nurse Practitioner (Gerontology)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 567-3203
MARVA MITCHELL-SPRUAL NP-C
Nurse Practitioner (Family)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 241-1356
RACHEL ROWLINSON NP
Nurse Practitioner (Adult Health)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (973) 241-1356
ENNOBLE HC MSO HOLDCO INC
Family Medicine (Geriatric Medicine)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223
MISS SUZETT SIMONE SHAW APN
Nurse Practitioner (Primary Care)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ennoble Hc Nj III PC's NPI number?

The NPI number for Ennoble Hc Nj III PC is 1043192099. It was assigned to this organization in the NPPES registry on July 22, 2025.

Where is Ennoble Hc Nj III PC located?

Ennoble Hc Nj III PC is located at 2 University Plz Ste 204, Hackensack, NJ 07601. The listed phone number is (551) 295-8223.

What is Ennoble Hc Nj III PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Ennoble Hc Nj III PC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.