Individual provider Active NPI

Paul Hahn, MD

  • Retina Specialist (Ophthalmology) Physician
  • Nanuet, NY
National Provider Identifier
1043360704
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
319167 Issued in NY
Practice address
25 Smith St Ste 414
Nanuet, NY 10954-2973
Phone
(845) 335-7234
Fax
(845) 335-7237
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA09796800 NJ
Retina Specialist (Ophthalmology) Physician 207WX0107X 319167 NY Primary
Ophthalmology Physician 207W00000X 25MA09796800 NJ
Ophthalmology Physician 207W00000X 01046 NC
Surgery Physician 208600000X MT188099 PA

Addresses

Primary practice location

25 Smith St Ste 414
Nanuet, NY 10954-2973

Mailing address

25 Smith St Ste 414
Nanuet, NY 10954-2973
Phone (845) 335-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160201000865 NJ Practitioner - Ophthalmology 4880725027
I20250827000725 NY Practitioner - Ophthalmology 4880725027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Smith St
Suite 414
Nanuet, NY 10954-2973
Phone (845) 335-7234

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as individual
Quality
99.88
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01046NCMDOphthalmology Physician
319167NYMDRetina Specialist (Ophthalmology) Physician
MT188099PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PH Retina Ophthalmology Care, PLLC Ophthalmology CurrentSince Sep 5, 2025 Accepting new patients
Complete Vision Services Ophthalmology Past Accepting new patients

Locations

25 Smith St
Ste 414
Nanuet, NY 10954
Phone (845) 335-7234

Interoperability endpoints

  • Direct secure messaging: phahn@phretina.intellechartdirect.net

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1043360704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 414",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542973",
            "telephone_number": "845-335-7234",
            "fax_number": "845-335-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SMITH ST STE 414",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542973",
            "telephone_number": "845-335-7234",
            "fax_number": "845-335-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA09796800",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "319167",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09796800",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "01046",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT188099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.