Healthcare Provider Details

I. General information

NPI: 1184951030
Provider Name (Legal Business Name): NANCY HAJO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2009
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE STE 630
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

20 PROSPECT AVE STE 201
HACKENSACK NJ
07601-1999
US

V. Phone/Fax

Practice location:
  • Phone: 201-447-8018
  • Fax: 201-389-0533
Mailing address:
  • Phone: 201-996-4849
  • Fax: 201-996-5703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00266000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: