Individual provider Active NPI

Eden Hamayoun

  • Emergency Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1104321504
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
327642 Issued in LA
Practice address
7600 River Rd
North Bergen, NJ 07047-6217
Phone
(201) 710-2756
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 327642 LA Primary

Addresses

Primary practice location

7600 River Rd
North Bergen, NJ 07047-6217

Mailing address

1332 Bluegrass Way
Gambrills, MD 21054-1053
Phone (443) 474-4437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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
I20211104001908 LA Practitioner - Emergency Medicine 3173852357 Reassigns benefits to 3 organizations
I20240814003825 TX Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 3173852357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensivist Medicine Services of TX, PLLCGroup PAC ID 3476915190, 35 clinicians

Practice addresses (Care Compare)

1313 Hermann Dr
Houston, TX 77004-7005
Phone (713) 527-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C & M Medical Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Cross Lake Emergency Group, LLC Emergency Medicine CurrentSince Dec 19, 2022 Accepting new patients
Intensivist Medicine Services of TX, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Kisatchie Emergency Group, LLC Emergency Medicine CurrentSince Mar 18, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

Organizations & group practices 5

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

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1104321504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 BLUEGRASS WAY",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541053",
            "telephone_number": "443-474-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "201-710-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAYOUN",
        "first_name": "EDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "327642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.