1902944218 NPI number — ROBERT HIRSCH, MD

Table of content: (NPI 1902944218)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902944218 NPI number — ROBERT HIRSCH, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT HIRSCH, MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902944218
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
870 PALISADE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEANECK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07666-3419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-907-0900
Provider Business Mailing Address Fax Number:
201-907-0229

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
870 PALISADE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEANECK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07666-3419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-907-0900
Provider Business Practice Location Address Fax Number:
201-907-0229
Provider Enumeration Date:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HIRSCH
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
DELEGATED OFFICIAL
Authorized Official Telephone Number:
201-907-0900

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  25MA01906600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0087548 . This is a "HIRSCH GHI PPO#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4231739 . This is a "HIRSCH AETNA PPO#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1K4682 . This is a "HIRSCH HEALTHNET #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2274523 . This is a "HIRSCH AETNA HMO#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 902211 . This is a "HIRSCH EMPIRE BCBS#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P1975158 . This is a "HIRSCH OXFORD #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P00080926 . This is a "HIRSCH RAILROAD MEDICARE#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1071171 . This is a "HIRSCH HORIZON NJ HEALTH#" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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