Ennoble Hc Fl III, LLC
NPI 1629996954ActiveOrganization· Family Medicine, Geriatric Medicine· Hackensack, NJ
Family Medicine, Geriatric Medicine in Hackensack, New Jersey, registered in NPPES in July 2026. The authorized official on file is Kush Das, Owner.
Overview
| NPI | 1629996954 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2026 |
| Last updated in NPPES | Jul 6, 2026 |
| Certified by provider | Jul 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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