Hackensack Vascular Specialists LLC
NPI 1063840239ActiveOrganization· Specialist· Hackensack, NJ
Specialist in Hackensack, New Jersey, registered in NPPES in October 2013. The authorized official on file is Gregory Simonian, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063840239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2013 |
| Last updated in NPPES | Dec 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 25MB08446100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Specialist providers in Hackensack
- 1104048677
- 1275646663
- 1013155308
- 1003963158
- 1891740668
- 1760620967
- 1780634451
- 1093125700
- 1881899532
- 1144500133
- 1083949622
- 1043328248