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

Individual provider Diagnostic Radiology Physician · NPI 1578094322

Mark Kaminetzky, MD is a Diagnostic Radiology in Hackensack, New Jersey. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2017, 9 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
9
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2
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 Radiology Dept
Hackensack, NJ 07601
Phone: (551) 996-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 S Newman St, Hackensack, NJ 07601-3210 — (201) 488-2660

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 25MA11762500 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 299458 (NY)

Record details

NPI number1578094322
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address130 Kinderkamack Rd Ste 200, River Edge, NJ 07661-1931

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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