Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edward R Prins, MD

Individual provider Internal Medicine Physician · NPI 1619978905

Dr. Edward R Prins, MD is an Internal Medicine in Hackensack, New Jersey. Graduated from Rutgers New Jersey Medical School in 1982, 44 years ago. Practices with Summit Avenue Medical PA, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
44
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2005
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

5 Summit Ave
Hackensack, NJ 07601
Phone: (201) 646-0001
Fax: (201) 646-9101
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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 MA042916 (NJ)

Record details

NPI number1619978905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESNovember 15, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1982 (44 years in practice)
Group practice Summit Avenue Medical Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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