Provider Demographics
NPI:1144635574
Name:HACKENSACK CRITICAL CARE & PULMONARY LLC
Entity type:Organization
Organization Name:HACKENSACK CRITICAL CARE & PULMONARY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HORMOZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHTYANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-996-0308
Mailing Address - Street 1:20 PROSPECT AVE STE 615
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1989
Mailing Address - Country:US
Mailing Address - Phone:201-996-0308
Mailing Address - Fax:201-996-0242
Practice Address - Street 1:20 PROSPECT AVE STE 615
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1989
Practice Address - Country:US
Practice Address - Phone:201-996-0308
Practice Address - Fax:201-996-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty