Healthcare Provider Details

I. General information

NPI: 1972460491
Provider Name (Legal Business Name): NEIGHBORHOOD MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MAIN ST STE 210
HACKENSACK NJ
07601-7149
US

IV. Provider business mailing address

131 MAIN ST STE 210
HACKENSACK NJ
07601-7149
US

V. Phone/Fax

Practice location:
  • Phone: 201-210-8859
  • Fax: 201-882-6327
Mailing address:
  • Phone: 201-210-8859
  • Fax: 201-882-6327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ABBEY
Title or Position: OWNER
Credential:
Phone: 201-210-8859