OrganizationActive
Innovative Care Center
NPI 1306114566 · Clinic/Center · Hackensack, NJ
Innovative Care Center is a Clinic/Center organization in Hackensack, NJ (NPI 1306114566).
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
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.