IndividualActive
Alex Petrak, MD
NPI 1801473707 · Surgery Physician · Hackensack, NJ
Provider details
- NPI number
- 1801473707
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA12857300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (614) 716-9741
Approximate (ZIP-level) locationGet directions
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Additional practice locations (1)
- 400 W Mineral King AveVisalia, CA 93291-6237Phone: (614) 716-9741
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.