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

Prospect Medical PC

Organization Internal Medicine Physician · NPI 1346365905

Prospect Medical PC is an Internal Medicine Physician in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
2
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

277 Prospect Ave
Hackensack, NJ 07601-2570
Phone: (201) 968-1881
Fax: (201) 968-0330
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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 · Licence 25MA06930200 (NJ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1346365905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shan Sivendra — President · (201) 968-1881
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 1, 2014
Mailing address277 Prospect Ave, Unit Lg, Hackensack, NJ 07601-2512

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