Healthcare Provider Details

I. General information

NPI: 1831717719
Provider Name (Legal Business Name): HUDSON HEALTHCARE EXPRESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 KENNEDY BLVD STE D
NORTH BERGEN NJ
07047-5361
US

IV. Provider business mailing address

PO BOX 9221
PARAMUS NJ
07653-9221
US

V. Phone/Fax

Practice location:
  • Phone: 201-603-2550
  • Fax:
Mailing address:
  • Phone: 201-783-9113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANAND PARIKH
Title or Position: ADMINISTRATOR/DEPUTY MANAGER
Credential:
Phone: 201-783-9113