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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ENNOBLE HC MSO HOLDCO INC
NPI 1174445712
Family Medicine - Geriatric Medicine in Hackensack, NJ

Active since July 27, 2026
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601(551) 295-8223 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ennoble Hc Mso Holdco Inc NPPES

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

ENNOBLE HC MSO HOLDCO INC (NPI 1174445712) is a healthcare organization registered as a geriatric medicine in Hackensack, New Jersey and active in the NPI registry since July 2026. The organization lists Kushabhadra Hc Dmv Das, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174445712
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameENNOBLE HC MSO HOLDCO INC
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 OfficialKushabhadra Hc Dmv DasCeo · (862) 812-9010
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1174445712 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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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
ENNOBLE HC NJ III PC
Family Medicine (Geriatric Medicine)
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601
Bergen County (551) 295-8223
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
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 Mso Holdco Inc's NPI number?

The NPI number for Ennoble Hc Mso Holdco Inc is 1174445712. It was assigned to this organization in the NPPES registry on July 27, 2026.

Where is Ennoble Hc Mso Holdco Inc located?

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

What is Ennoble Hc Mso Holdco Inc'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 Mso Holdco Inc was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.