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ENNOBLE HC NJ PC
NPI 1306500764
Family Medicine - Geriatric Medicine in Hackensack, NJ

Active since October 22, 2021CLIA 31D2344392 · Waiver
2 UNIVERSITY PLZ, HACKENSACK, NJ 07601(973) 435-9463 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2022, Oct 22, 2021 (2 updates tracked since 2021).

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

NPI1306500764
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameENNOBLE HC NJ PC
Location Address2 UNIVERSITY PLZHackensack, NJ 07601-6202
Mailing Address2 University Plaza Drive, Suite 204Hackensack, NJ 07601 · (973) 241-1356
Phone(973) 435-9463
Organization SubpartNo
Authorized OfficialKushabhadra DasCeo · (862) 812-9010
Enumeration DateOctober 22, 2021
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1306500764 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, Hackensack, NJ 07601
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ennoble Hc Nj Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

203

Medicare enrollment records show 203 clinicians reassign Medicare billing to Ennoble Hc Nj PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner184
Internal Medicine9
Family Practice7
Certified Clinical Nurse Specialist (CNS)1
Emergency Medicine1
Hospitalist1

Nearest to this location (20)

See all 203
Anastasia Alosi, FNP
Nurse Practitioner
NPI 1881352565
2 UNIVERSITY PLZ
Hackensack, NJ 07601
(973) 435-9463
✔ PECOS✔ Accepts MedicareSame address
Lesley Majoni
Nurse Practitioner
NPI 1306717798
2 UNIVERSITY PLZ
Hackensack, NJ 07601
(973) 567-3203
✔ PECOS✔ Accepts MedicareSame address
Chayla Brown, APN
Nurse Practitioner
NPI 1801667290
2 UNIVERSITY PLZ
Hackensack, NJ 07601
(973) 241-1356
✔ PECOS✔ Accepts Medicare0.3 mi
Christine Meudt
Nurse Practitioner
NPI 1720947369
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 400-8741
✔ PECOS✔ Accepts Medicare0.4 mi
Megha Desai, FNP-C
Nurse Practitioner
NPI 1952196792
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS0.4 mi
Lauren Heckmann, FNP-C
Nurse Practitioner
NPI 1457115826
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(973) 241-1356
✔ PECOS✔ Accepts Medicare0.4 mi
Brenna Melick
Nurse Practitioner
NPI 1053250167
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.4 mi
Elizabeth Sobeck, APN
Nurse Practitioner
NPI 1023968443
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(973) 241-1356
✔ PECOS✔ Accepts Medicare0.4 mi
Gregorie Acceus, APN
Nurse Practitioner
NPI 1336021930
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 550-9547
✔ PECOS✔ Accepts Medicare0.5 mi
Victoria D'amico, MSN FNP-BC
Nurse Practitioner
NPI 1689047516
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.5 mi
Breeana Dickson
Nurse Practitioner
NPI 1003630468
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(973) 435-9463
✔ PECOS✔ Accepts Medicare0.5 mi
Susan Dolphin, MSN, APN, FNP-C
Nurse Practitioner
NPI 1366286403
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(973) 567-3203
✔ PECOS✔ Accepts Medicare0.5 mi
Robin Glanton, APN
Nurse Practitioner
NPI 1306678727
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.5 mi
Joudlie Jean, FNP
Nurse Practitioner
NPI 1467252395
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.5 mi
Thomas Lee, M.D.
Family Practice
NPI 1285632950
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.5 mi
Marva Mitchell Sprual, NP-C
Nurse Practitioner
NPI 1164030045
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(973) 241-1356
✔ PECOS✔ Accepts Medicare0.5 mi
Suzett Shaw, APN
Nurse Practitioner
NPI 1184171639
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.5 mi
Patricia Caucci, CRNP
Nurse Practitioner
NPI 1730020934
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS0.6 mi
Erin Flora
Nurse Practitioner
NPI 1588515621
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.6 mi
Anara Hamded
Nurse Practitioner
NPI 1740923234
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
(551) 295-8223
✔ PECOS✔ Accepts Medicare0.6 mi
See all 203 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, NJ
Active · expires May 20, 2028
CLIA Number31D2344392
Laboratory TypeHospice
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorLisa Burtt
Laboratory Phone(973) 435-9463
Laboratory LocationEnnoble Hospice Nj LLC , Dba Ennoble Care700 Grand St Unit 5B, Hackettstown, NJ 07840
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Is Ennoble Hc Nj PC enrolled in Medicare?

Yes. Ennoble Hc Nj PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ennoble Hc Nj PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 203 clinicians in 6 Medicare specialties reassign their Medicare billing to Ennoble Hc Nj PC. 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 Nurse Practitioner (184), Internal Medicine (9) and Family Practice (7). Of these, 2 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blue Cross and Blue Shield of Oklahoma 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.