Healthcare Provider Details

I. General information

NPI: 1851251912
Provider Name (Legal Business Name): HOBOKEN UNIVERSITY PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 WILLOW AVE
HOBOKEN NJ
07030-3808
US

IV. Provider business mailing address

19 MOHAWK AVE
NORWOOD NJ
07648-2410
US

V. Phone/Fax

Practice location:
  • Phone: 781-588-7878
  • Fax:
Mailing address:
  • Phone: 781-588-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MAGDALINE KOPACZ
Title or Position: OWNER
Credential: MD
Phone: 781-588-7878