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HACKENSACK UNIVERSITY MEDICAL CENTER
NPI 1114348976
Urology in Hackensack, NJ

Active since December 21, 2013CLIA Certified · 2 labs
360 ESSEX ST, SUITE 403, HACKENSACK, NJ 07601(551) 996-8316(551) 996-8221 Get Directions Write a Review

NPPES record last updated: December 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hackensack University Medical Center NPPES

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

HACKENSACK UNIVERSITY MEDICAL CENTER (NPI 1114348976) is a healthcare organization registered as an urology in Hackensack, New Jersey and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates and lists Richard A Watson, Director Of Residency Training, as its authorized official.

NPPES Registry Identity

NPI1114348976
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameHACKENSACK UNIVERSITY MEDICAL CENTER
Location Address360 ESSEX ST, SUITE 403Hackensack, NJ 07601-8550
Mailing Address360 Essex St, Suite 403Hackensack, NJ 07601-8550 · (551) 996-8316 · Fax (551) 996-8221
Phone(551) 996-8316
Fax(551) 996-8221
Organization SubpartNo
Authorized OfficialRichard A WatsonDirector Of Residency Training · (551) 996-8316
Enumeration DateDecember 21, 2013
✔ NPI 1114348976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NJ · 25MA06270300
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
360 ESSEX ST, Hackensack, NJ 07601
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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 2

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 31D2218624

Hackensack University Medical Center · Hackensack, NJ
Active · expires Mar 29, 2027
CLIA Number31D2218624
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorJeanette Haugh
Laboratory Phone(551) 996-3457
Laboratory LocationHackensack University Medical Center30 Prospect Avenue Women And Children's Building 5 W - 107A, Hackensack, NJ 07601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2278354

Hackensack University Medical Center David Jurist Bldg · Hackensack, NJ
Active · expires Mar 15, 2027
CLIA Number31D2278354
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorCheryl Pinto
Laboratory Phone(732) 776-3480
Laboratory LocationHackensack University Medical Center David Jurist Bldg40 Prospect Ave, Hackensack, NJ 07601
CLIA data matches this NPI record on: Name
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.

ASHER MILLMAN PA-C
Physician Assistant (Medical)
360 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (201) 646-0110
DR. DOROTHY RENEE OURVAN D.O.
Family Medicine
360 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (201) 336-8686
SO YEON LEE RPH
Pharmacist
360 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (201) 498-9670
MR. MARK AYIREBI NTIAMOAH
Pharmacist
360 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (201) 498-9670
JUMANA SHAMMOUT M.D.
Specialist
360 ESSEX ST, SUITE # 402
HACKENSACK, NJ 07601
Bergen County (201) 336-8840
DR. IHOR SAWCZUK MD
Urology
360 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (201) 336-8090
DUANE READE
Pharmacy
360 ESSEX ST
HACKENSACK, NJ 07601
Bergen County (201) 498-9670
JASON LEONE ZAPPIA MD
Urology
360 ESSEX ST, STE 403
HACKENSACK, NJ 07601
Bergen County (551) 996-8090

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 University Medical Center's NPI number?

The NPI number for Hackensack University Medical Center is 1114348976. It was assigned to this organization in the NPPES registry on December 21, 2013.

Where is Hackensack University Medical Center located?

Hackensack University Medical Center is located at 360 Essex St Suite 403, Hackensack, NJ 07601. The listed phone number is (551) 996-8316.

What is Hackensack University Medical Center's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Hackensack University Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Hackensack University Medical Center was last updated on December 21, 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.