Manoucher Katebian, M.D. Pa

LBN: Manoucher Katebian, M.D. Pa
Manoucher Katebian, M.D. Pa is an health care organization with primary practice located at 274 Summit Ave , Hackensack NJ 07601-1432. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Manoucher Katebian, M.D. Pa can be contacted via phone (201) 342-3800, or through Katebian, Manoucher via phone (201) 342-3800.

Contact Information

Primary practice address
274 Summit Ave Hackensack NJ 07601-1432
Fax: (201) 343-7320
Website:
Authorized official contact:
Name: Katebian, Manoucher

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA02875800 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA02875800 New Jersey

Profile Details

NPI number 1609049501
LBN Legal business name Manoucher Katebian, M.D. Pa
DBA Doing business as
Authorized official Katebian, Manoucher
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Jun 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609049501 NPPES
New Jersey Other NJ6763 HEALTHNET
New Jersey Other BS735 HEALTHNET
New Jersey Other 442062045 HEALTHNET
New Jersey MEDICAID 2914204 HEALTHNET

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