HACKENSACK VASCULAR SPECIALISTS LLC
NPI 1063840239
Specialist in Hackensack, NJ
About Hackensack Vascular Specialists Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HACKENSACK VASCULAR SPECIALISTS LLC (NPI 1063840239) is a healthcare organization registered as a specialist in Hackensack, New Jersey and active in the NPI registry since October 2013. The organization lists Gregory Simonian, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hackensack Vascular Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Hackensack Vascular Specialists LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hackensack Vascular Specialists LLC's NPI number?
The NPI number for Hackensack Vascular Specialists LLC is 1063840239. It was assigned to this organization in the NPPES registry on October 24, 2013.
Where is Hackensack Vascular Specialists LLC located?
Hackensack Vascular Specialists LLC is located at 211 Essex St Ste 102, Hackensack, NJ 07601. The listed phone number is (201) 487-8882.
What is Hackensack Vascular Specialists LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Hackensack Vascular Specialists LLC enrolled in Medicare?
Yes. Hackensack Vascular Specialists LLC is registered in the Medicare PECOS enrollment system.
When is Hackensack Vascular Specialists LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Hackensack Vascular Specialists LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Hackensack Vascular Specialists LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Vascular Surgery (3) and General Surgery (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hackensack Vascular Specialists LLC was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Hackensack Vascular Specialists Llc · NPI 1063840239
Specialist organization in Hackensack, New Jersey. Organization record, active in the CMS NPPES registry since October 24, 2013.
## Identity
- **NPI:** 1063840239 (Entity type: Organization)
- **Enumerated:** October 24, 2013
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Gregory Simonian, PRESIDENT
## Practice location
- **Address:** 211 ESSEX ST STE 102, Hackensack, NJ 07601-3244
- **Phone:** (201) 487-8882 · **Fax:** (201) 487-0943
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Vascular Surgery (3), General Surgery (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1063840239) · Data from the CMS NPPES public registry.