Healthcare Provider Details

I. General information

NPI: 1659139376
Provider Name (Legal Business Name): HMH HOSPITALS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE SUITE 3421
HACKENSACK NJ
07601
US

IV. Provider business mailing address

30 PROSPECT AVE SUITE 3421
HACKENSACK NJ
07601
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-8744
  • Fax:
Mailing address:
  • Phone: 551-996-8744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
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: ROBERT J SCHENK
Title or Position: DIRECTOR
Credential:
Phone: 732-239-2192