Active NPI
Emmanuel Hriso MD PA
- Psychiatry Physician
- Woodbridge, NJ
National Provider Identifier
1124033089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- EMMANUEL HRISO MD PA
- Practice address
- 54 Main St
Woodbridge, NJ 07095-2816 - Phone
- (732) 855-1199
- Fax
- (732) 855-1138
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Hriso, MD
- Title
- Owner
- Phone
- (201) 436-4080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
54 Main St
Woodbridge, NJ 07095-2816
Mailing address
380 Mountain Rd Apt 1003
Union City, NJ 07087-7306
Phone (201) 436-4080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4521501 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
54 Main St
Woodbridge, NJ 07095
Phone (732) 285-1199
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Woodbridge, NJ
- NPI 1942217328
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1124431705
-
- Clinical Social Worker
- Bayonne, NJ
- NPI 1275927956
-
- Mental Health Counselor
- Bayonne, NJ
- NPI 1811711765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124033089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MOUNTAIN RD APT 1003",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070877306",
"telephone_number": "201-436-4080",
"fax_number": "201-436-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MAIN ST",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070952816",
"telephone_number": "732-855-1199",
"fax_number": "732-855-1138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMANUEL HRISO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HRISO",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-436-4080",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4521501",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.