Healthcare Provider Details

I. General information

NPI: 1245286178
Provider Name (Legal Business Name): CARLOS E CESAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE FACULTY PRACTICE OFFICE
HACKENSACK NJ
07601-1914
US

IV. Provider business mailing address

166 HOPKINS AVE APT B
JERSEY CITY NJ
07306-2515
US

V. Phone/Fax

Practice location:
  • Phone: 201-441-3349
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA07799600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: