Organization Active NPI

Emmanuel Hriso MD PA

  • Psychiatry Physician
  • Woodbridge, NJ
National Provider Identifier
1124033089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Emmanuel Hriso, MDNPI 1942217328
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4521501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000484 NJ Part B Supplier - Clinic/Group Practice 4183624828 Receives reassigned benefits from 4 practitioners
Practice locations: Woodbridge, NJ; Bayonne, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.