OrganizationActive
Innovative Care Center
NPI 1306114566 · Clinic/Center · Hackensack, NJ
Provider details
- NPI number
- 1306114566
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Rauscher, Medical Director(201) 488-1036
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Prospect Ave
Suite 600
Hackensack, NJ 07601-1997
Phone: (201) 488-1036
Fax: (201) 489-6966
Street-level locationGet directions
Mailing address
20 Prospect Ave
Hackensack, NJ 07601-1997
Registry dates
- Enumerated
- 2011-12-02
- Last updated
- 2011-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.