ENNOBLE HC NJ PC
NPI 1306500764
Family Medicine - Geriatric Medicine in Hackensack, NJ
About Ennoble Hc Nj Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENNOBLE HC NJ PC (NPI 1306500764) is a healthcare organization registered as a geriatric medicine in Hackensack, New Jersey and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Kushabhadra Das, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 31D2344392
Ennoble Hospice Nj LLC , Dba Ennoble Care · Hackettstown, NJOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
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 PC's NPI number?
The NPI number for Ennoble Hc Nj PC is 1306500764. It was assigned to this organization in the NPPES registry on October 22, 2021.
Where is Ennoble Hc Nj PC located?
Ennoble Hc Nj PC is located at 2 University Plz, Hackensack, NJ 07601. The listed phone number is (973) 435-9463.
What is Ennoble Hc Nj PC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Does Ennoble Hc Nj PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2344392) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ennoble Hc Nj PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Home State Health and 4 other insurers list Ennoble Hc Nj PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ennoble Hc Nj PC was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ennoble Hc Nj Pc · NPI 1306500764
Geriatric Medicine organization in Hackensack, New Jersey. Organization record, active in the CMS NPPES registry since October 22, 2021.
## Identity
- **NPI:** 1306500764 (Entity type: Organization)
- **Enumerated:** October 22, 2021
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Kushabhadra Das, CEO
## Practice location
- **Address:** 2 UNIVERSITY PLZ, Hackensack, NJ 07601-6202
- **Phone:** (973) 435-9463
## Record status
- **NPPES last updated:** November 8, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306500764) · Data from the CMS NPPES public registry.