Ennoble Hc Tx III PA
NPI 1639097702ActiveOrganization· 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 Adam Flowers, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639097702 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2026 |
| Last updated in NPPES | Jul 7, 2026 |
| Certified by provider | Jul 7, 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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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