Ennoble Hc Nj PC
NPI 1306500764 · Geriatric Medicine (Family Medicine) Physician · Hackensack, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ennoble Hc Nj PC is a Geriatric Medicine (Family Medicine) Physician organization in Hackensack, NJ (NPI 1306500764).
Provider details
- NPI number
- 1306500764
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kushabhadra Das, Ceo(862) 812-9010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-10-22
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Frequently asked questions
- What is Ennoble Hc Nj PC's NPI number?
- Ennoble Hc Nj PC's National Provider Identifier (NPI) is 1306500764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ennoble Hc Nj PC?
- Ennoble Hc Nj PC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ennoble Hc Nj PC located?
- Ennoble Hc Nj PC's practice location on file with NPPES is 2 University Plz, Hackensack, NJ 07601-6202.
- What is Ennoble Hc Nj PC's phone number?
- The practice phone number listed in the NPPES registry for Ennoble Hc Nj PC is (973) 435-9463.
- Does Ennoble Hc Nj PC accept Medicare?
- Ennoble Hc Nj PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ennoble Hc Nj PC?
- The authorized official listed on Ennoble Hc Nj PC's NPPES record is Kushabhadra Das, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ennoble Hc Nj PC's NPI active?
- Yes — Ennoble Hc Nj PC's NPI (1306500764) is active in the NPPES registry as of the last update on 2022-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.