NPI 1033150099

Malkhazi Mikadze, MD

Practitioner Pediatric Emergency Medicine (Pediatrics) Physician Hackensack, NJ

Practice location

Address: 30 Prospect Ave Pediatrics Dept, Hackensack, NJ 07601-1914
Phone: (201) 996-2000
Mailing address: 224 E Northfield Rd, Livingston, NJ 07039-4801

Registered specialties (2)

Pediatric Emergency Medicine (Pediatrics) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0204X Licence 25MA07954800 (NJ)

Other Pediatrics providers in New Jersey →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 25MA07954800 (NJ)

Registry record

NPI: 1033150099
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2006
Record last updated: 2 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.