NPIMap

Individual provider Active NPI

Hrach Ike Kasaryan, D.O.

  • Cardiovascular Disease Physician
  • Teaneck, NJ
National Provider Identifier
1023296936
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB08886200 Issued in NJ
Practice address
400 Frank W Burr Blvd
#22, Second Floor
Teaneck, NJ 07666-6839
Phone
(201) 928-2300
Fax
(201) 692-3263
NPI assigned
Feb 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 246961-1 NY
Internal Medicine Physician 207R00000X 25MB08886200 NJ
Cardiovascular Disease Physician 207RC0000X 25MB08886200 NJ Primary

Addresses

Primary practice location

400 Frank W Burr Blvd
#22, Second Floor
Teaneck, NJ 07666-6839

Mailing address

400 Frank W Burr Blvd
# 22, Second Floor
Teaneck, NJ 07666-6839
Phone (201) 928-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000545 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486725959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
246961-1NYMDInternal Medicine Physician
25MB08886200NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2022 Accepting new patients
Humc Cardiovascular Partners, PC Cardiovascular Disease CurrentSince Jul 19, 2011 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Jan 1, 2022 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Jan 1, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Internal Medicine Past Accepting new patients

Locations

810 Abbott Blvd
Ste 201
Fort Lee, NJ 07024
Phone (201) 886-9699

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

400 Frank W Burr Blvd
Ste 22
Teaneck, NJ 07666
Phone (201) 907-0442

Interoperability endpoints

  • Direct secure messaging: hkasaryan471043@ahs.direct-ci.com
  • Direct secure messaging: hrach.kasaryan@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1023296936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRANK W BURR BLVD",
            "address_2": "# 22, SECOND FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666839",
            "telephone_number": "201-928-2300",
            "fax_number": "201-692-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANK W BURR BLVD",
            "address_2": "#22, SECOND FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666839",
            "telephone_number": "201-928-2300",
            "fax_number": "201-692-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASARYAN",
        "first_name": "HRACH",
        "middle_name": "IKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246961-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08886200",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB08886200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.