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

Hackensack University Medical Group, PC

Organization Emergency Medicine Physician · NPI 1902563018

Hackensack University Medical Group, PC is an Emergency Medicine Physician in Hackensack, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1902563018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Reznik — Authorized Official · (551) 996-5045
NPI enumeratedNovember 23, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing addressPo Box 95000-8303, Philadelphia, PA 19195-0001

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