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
Phone: (201) 342-3800
Fax: (201) 343-7320
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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