NPI 1780960542 · live from the CMS NPI Registry
John Richard Albanese, PA-C, MPA
Physician Assistant in Hackensack, NJ. National Provider Identifier 1780960542, active.
NPI record
| NPI | 1780960542 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 30 Prospect Ave, Hackensack, NJ 07601 |
| Practice phone | 973-996-5492 |
| Enumerated | October 25, 2011 |
| Last updated | March 11, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 25MP00274600 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.