Family Medicine, Geriatric Medicine
ENNOBLE HC NJ III PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043192099 · enumerated 2025-07-22 · record updated 2025-08-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MARK BRADSHAW MD, Owner · (678) 665-2618
Addresses and phones
- Practice location 2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ, 07601-6211 (551) 295-8223 Google Maps Apple Maps OpenStreetMap
- Mailing address 2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ, 07601-6211 (551) 295-8223 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Geriatric Medicine 207QG0300X · Primary
In this directory
NJ Bergen County Hackensack Family Medicine, Geriatric Medicine
Locations and evidence
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Practice location
HACKENSACK, NJ, 076016211
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.