OrganizationActive
Hackensack University Medical Center
NPI 1801952825 · Prosthetic/Orthotic Supplier · Hackensack, NJ
Provider details
- NPI number
- 1801952825
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Constance Niclas, Supervisor(201) 996-4400
Specialties & taxonomies
Suppliers
Practice location
20 Prospect Ave
Suite 505
Hackensack, NJ 07601-1997
Phone: (201) 996-4400
Approximate (ZIP-level) locationGet directions
Mailing address
20 Prospect Ave
Hackensack, NJ 07601-1997
Other names (DBA / former)
- Doing business as
- Ellen H. Lazar Shoppe on Fifth
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2008-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.