Healthcare Provider Details
I. General information
NPI: 1023027141
Provider Name (Legal Business Name): BYER & KEYS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
211 ESSEX ST SUITE 102
HACKENSACK NJ
07601
US
IV. Provider business mailing address
211 ESSEX ST SUITE 102
HACKENSACK NJ
07601
US
V. Phone/Fax
- Phone: 201-487-8882
- Fax: 201-487-0943
- Phone: 201-487-8882
- Fax: 201-487-0943
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
GREGORY
T
SIMONIAN
Title or Position: OFFICER OF COMPANY
Credential: MD
Phone: 201-487-8882