HUDSON TERRACE MEDICAL, P.A. – NPI #1518021039
Clinic/Center

HUDSON TERRACE MEDICAL, P.A. is an AHC clinic located in ENGLEWOOD CLIFFS, NJ. NPPES has assigned the NPI number 1518021039 to HUDSON TERRACE MEDICAL, P.A. on December 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 12 years ago on Jul 23, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HUDSON TERRACE MEDICAL, P.A. below.

NPI Profile for
HUDSON TERRACE MEDICAL, P.A.

NPI Number
1518021039
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HUDSON TERRACE MEDICAL, P.A.
Primary location
464 HUDSON TERRACE
SUITE #102
ENGLEWOOD CLIFFS, NJ 07632-2917
Phone: (201) 503-0066 Fax: (201) 503-0190
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAEWON MOON
DIRECTOR
Phone: (201) 503-0066
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NJ 25MA05670900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.