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MARIA R KEANCHONG MD PA
NPI 1104151216
Obstetrics & Gynecology in Hackensack, NJ

Active since October 07, 2009CLIA 31D2172601 · Waiver
20 PROSPECT AVE, SUITE 810, HACKENSACK, NJ 07601(201) 880-4949(201) 880-4950 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maria R Keanchong Md Pa NPPES

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

MARIA R KEANCHONG MD PA (NPI 1104151216) is a healthcare organization registered as an obstetrics & gynecology in Hackensack, New Jersey and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Maria R. Keanchong, Owner, as its authorized official.

NPPES Registry Identity

NPI1104151216
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMARIA R KEANCHONG MD PA
Location Address20 PROSPECT AVE, SUITE 810Hackensack, NJ 07601-1997
Mailing Address20 Prospect Ave, Suite 810Hackensack, NJ 07601-1997 · (201) 880-4949 · Fax (201) 880-4950
Phone(201) 880-4949
Fax(201) 880-4950
Organization SubpartNo
Authorized OfficialMaria R. KeanchongOwner · (201) 880-4949
Enumeration DateOctober 7, 2009
Last NPPES UpdateDecember 11, 2009
✔ NPI 1104151216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

20 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN167777NJ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2172601

Dr Maria R Keanchong, MD · Paramus, NJ
Active · expires Sep 24, 2027
CLIA Number31D2172601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorMaria R. Keanchong
Laboratory Phone(201) 880-4949
Laboratory LocationDr Maria R Keanchong, MD80 Route 4 East Suite 230, Paramus, NJ 07652
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

GUNJAN J SHUKLA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
20 PROSPECT AVE, SUITE 701
HACKENSACK, NJ 07601
Bergen County (201) 996-2997
GLAUCO RADOSLOVICH M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
20 PROSPECT AVE, STE 701
HACKENSACK, NJ 07601
Bergen County (201) 996-2997
TAYA VALERIE GLOTZER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
20 PROSPECT AVE, STE 701
HACKENSACK, NJ 07601
Bergen County (201) 996-2997
STEVEN J. SPERBER M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
DR. MICHAEL ANTHONY SBARRA M.D.
Obstetrics & Gynecology (Obstetrics)
20 PROSPECT AVE, SUITE 705
HACKENSACK, NJ 07601
Bergen County (201) 488-0409
LIZABETH A KOPP MD
Obstetrics & Gynecology
20 PROSPECT AVE, SUITE 607
HACKENSACK, NJ 07601
Bergen County (201) 487-3464
DR. MARIA R KEANCHONG MD
Obstetrics & Gynecology
20 PROSPECT AVE, SUITE 810
HACKENSACK, NJ 07601
Bergen County (201) 880-4949
DR. MICHAEL R. PETRIELLA M.D.
Obstetrics & Gynecology
20 PROSPECT AVE, SUITE # 810
HACKENSACK, NJ 07601
Bergen County (201) 336-8109

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 Maria R Keanchong MD PA's NPI number?

The NPI number for Maria R Keanchong MD PA is 1104151216. It was assigned to this organization in the NPPES registry on October 7, 2009.

Where is Maria R Keanchong MD PA located?

Maria R Keanchong MD PA is located at 20 Prospect Ave Suite 810, Hackensack, NJ 07601. The listed phone number is (201) 880-4949.

What is Maria R Keanchong MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Maria R Keanchong MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2172601) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maria R Keanchong MD PA was last updated on December 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.