OrganizationActive
Second Street Medical Associates
NPI 1679522775 · Primary Care Clinic/Center · Hackensack, NJ
Provider details
- NPI number
- 1679522775
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Woodham, Owner(201) 342-1877
- License
- MA67550 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
386 2nd St
Hackensack, NJ 07601-2731
Phone: (201) 342-1877
Fax: (201) 342-1879
Street-level locationGet directions
Mailing address
386 2nd St
Hackensack, NJ 07601-2731
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2013-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.