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SECOND STREET MEDICAL ASSOCIATES
NPI 1679522775
Clinic/Center - Primary Care in Hackensack, NJ

Active since May 08, 2006
386 2ND ST, HACKENSACK, NJ 07601(201) 342-1877(201) 342-1879 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Second Street Medical Associates NPPES

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

SECOND STREET MEDICAL ASSOCIATES (NPI 1679522775) is a healthcare organization registered as a primary care in Hackensack, New Jersey and active in the NPI registry since May 2006. The organization lists Philip G Woodham, Owner, as its authorized official.

NPPES Registry Identity

NPI1679522775
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSECOND STREET MEDICAL ASSOCIATES
Location Address386 2ND STHackensack, NJ 07601-2731
Mailing Address386 2nd StHackensack, NJ 07601-2731 · (201) 342-1877 · Fax (201) 342-1879
Phone(201) 342-1877
Fax(201) 342-1879
Organization SubpartNo
Authorized OfficialPhilip G WoodhamOwner · (201) 342-1877
Enumeration DateMay 8, 2006
Last NPPES UpdateMarch 20, 2013
✔ NPI 1679522775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · MA67550
386 2ND ST, Hackensack, NJ 07601
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Other Identifiers 2

Medicare UPINX83358NJ
Medicare PIN065943NJ

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 Second Street Medical Associates's NPI number?

The NPI number for Second Street Medical Associates is 1679522775. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Second Street Medical Associates located?

Second Street Medical Associates is located at 386 2nd St, Hackensack, NJ 07601. The listed phone number is (201) 342-1877.

What is Second Street Medical Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Second Street Medical Associates was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.