Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hackensack Medical Group LLC

Organization Internal Medicine Physician · NPI 1649904772

Hackensack Medical Group LLC is an Internal Medicine Physician in Hackensack, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

341 Essex St
Hackensack, NJ 07601-2048
Phone: (973) 234-0779
Fax: (973) 453-8059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Nursing Care Agency Taxonomy 251J00000X
Clinic/Center Taxonomy 261Q00000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1649904772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lionel Anicette — Medical Director · (973) 234-0779
NPI enumeratedJuly 14, 2022
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022
Mailing address483 S Orange Ave, South Orange, NJ 07079-2642

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