| NPI | 1306823364 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-12-29 |
| Last Updated | 2017-02-06 |
| Mailing Address | 532 Lafayette Rd, Suite 300 Sparta, NJ 07871-4411 United States Phone: (973) 940-0423 | Fax: (973) 940-0399 📍 View Map |
| Primary Practice Address | 212 Route 94, Suite 1-D Vernon, NJ 07462 United States Phone: (973) 209-2162 | Fax: (973) 209-2665 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NJ | 7575700 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | NJ | 25MB06308800 |
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About NPI 1306823364
Eric Samuel Hansen D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306823364. The primary specialty listed is Internal Medicine. The provider is located in Vernon, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306823364?
NPI 1306823364 belongs to Eric Samuel Hansen D.O., a Internal Medicine in Vernon, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306823364 active?
The current status of NPI 1306823364 in the NPPES registry is Active. The record was last updated on 2017-02-06.
What specialty is NPI 1306823364?
NPI 1306823364 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306823364?
You can verify NPI 1306823364 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306823364?
The primary practice address on file for NPI 1306823364 is 212 Route 94, Vernon, NJ 07462. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306823364 issued?
NPI 1306823364 was first issued (enumerated) on 2005-12-29. The NPPES record was last updated on 2017-02-06.
Practice Location Map
Eric Samuel Hansen is located at 212 Route 94, Vernon, NJ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eric Samuel Hansen. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1306823364. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 25MB06308800 | NJ |