Dr. Manoucher Katebian , MD
Specialist • Hackensack, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Manoucher Katebian has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Manoucher Katebian, MD was a registered Specialist practicing in Hackensack, NJ. Throughout an active medical career spanning 14 years, Dr. Katebian provided care at the practice location at 274 SUMMIT AVE until profile deactivation on 2020-08-24.
Practice Location & Contact Primary Location
274 Summit Ave
Hackensack, NJ 076011432
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Hackensack, NJ
Practicing in Hackensack, NJ (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 24, 2020
NPI status registered as active in NPPES database
Registered at 274 SUMMIT AVE, HACKENSACK, NJ 076011432 (Tel: 2013423800)
Registered at PO BOX 99, HACKENSACK, NJ 076020099 (Tel: 2013423800)
Recorded as MANOUCHER KATEBIAN, M.D.
Specialist (License #MA028758 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 99
Hackensack, NJ 076020099
Phone: 2013423800
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