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Contact Information

MINA SHAKER, MD
38 SUMMIT AVE
HACKENSACK, NJ07601
 Phone: 201-343-6360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MINA SHAKER · (Male)

NPI Number 1770977852
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2015
Last updated 02/10/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA10249900
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
  • HOLY NAME MEDICAL CENTER - (Acute Care)
    718 TEANECK RD
    TEANECK, NJ 07666
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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