The victim was crossing Livingston Street, headed toward the Dunkin Donuts, when he was struck just after 6 a.m.
"Ambulance and paramedic units arrived on scene and requested a medevac due to the severity of the injuries," Capt. Howard Ostrow said.
A rig took him to nearby Hogan Field, where AirMed One picked him up and took him to Hackensack University Medical Center.
The 27-year-old Ford pickup driver from Rockleigh remained at the scene.
An investigation was continuing.
Norwood police and Northvale firefighters also responded.
Click here to follow Daily Voice Monsey and receive free news updates.