ENNOBLE HC KY III PLLC
NPI 1639005853
Family Medicine - Geriatric Medicine in Hackensack, NJ

Q: What is Ennoble Hc Ky III PLLC's NPI number?

The NPI number for Ennoble Hc Ky III PLLC is 1639005853. It was assigned to this organization in the NPPES registry on June 23, 2026.

Q: What is Ennoble Hc Ky III PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since June 23, 2026

2 UNIVERSITY PLZ, HACKENSACK, NJ 07601(551) 295-8223 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ennoble Hc Ky Iii Pllc NPPES

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

ENNOBLE HC KY III PLLC (NPI 1639005853) is a healthcare organization registered as a geriatric medicine in Hackensack, New Jersey and active in the NPI registry since June 2026. The organization lists Mark Bradshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1639005853

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameENNOBLE HC KY III PLLC

Location Address2 UNIVERSITY PLZHackensack, NJ 07601-6202

Mailing Address2 University PlzHackensack, NJ 07601-6202 · (551) 295-8223

Phone(551) 295-8223

Organization SubpartNo

Authorized OfficialMark BradshawOwner · (678) 665-2618

Enumeration DateJune 23, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1639005853 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

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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.

GERIATRIC CARE SOLUTIONS

In Home Supportive Care

2 UNIVERSITY PLZ, 100
HACKENSACK, NJ 07601

Bergen County (866) 568-0120

ABA SERVICES FOR CHILDREN INC

Behavior Analyst

2 UNIVERSITY PLZ, STE 100
HACKENSACK, NJ 07601

Bergen County (201) 953-4308

DR. MARIETTE YVONNE AMADI M.D

Internal Medicine

2 UNIVERSITY PLZ, SUITE 100 #29
HACKENSACK, NJ 07601

Bergen County (908) 578-2144

CRANIAL TECHNOLOGIES INC

Prosthetic/Orthotic Supplier

2 UNIVERSITY PLZ, SUITE 111
HACKENSACK, NJ 07601

Bergen County (201) 265-3993

ANASTASIA ALOSI FNP

Nurse Practitioner (Family)

2 UNIVERSITY PLZ
HACKENSACK, NJ 07601

Bergen County (973) 435-9463

ENNOBLE HC NJ PC

Family Medicine (Geriatric Medicine)

2 UNIVERSITY PLZ
HACKENSACK, NJ 07601

Bergen County (973) 435-9463

HOUSECALLS FOR THE HOMEBOUND MEDICINE NJ PC

Internal Medicine

2 UNIVERSITY PLZ, SUITE 204
HACKENSACK, NJ 07601

Bergen County (201) 564-0142

HELLO PSYCHIATRY LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

2 UNIVERSITY PLZ
HACKENSACK, NJ 07601

Bergen County (347) 753-8833

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 Ky III PLLC's NPI number?

The NPI number for Ennoble Hc Ky III PLLC is 1639005853. It was assigned to this organization in the NPPES registry on June 23, 2026.

Where is Ennoble Hc Ky III PLLC located?

Ennoble Hc Ky III PLLC is located at 2 University Plz, Hackensack, NJ 07601. The listed phone number is (551) 295-8223.

What is Ennoble Hc Ky III PLLC'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 Ky III PLLC was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.