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

Dr. Alex Benjamin Petrak, MD

Individual provider Surgery Physician · NPI 1801473707

Dr. Alex Benjamin Petrak, MD is a Surgery Physician in Hackensack, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (614) 716-9741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 W Mineral King Ave, Visalia, CA 93291-6237 — (614) 716-9741

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA12857300 (NJ)

Record details

NPI number1801473707
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

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