Active NPI
Stephen Hricko, MD
- Emergency Medicine Physician
- Elizabeth, NJ
National Provider Identifier
1144312109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA01961000
- Practice address
- 225 Williamson St
Elizabeth, NJ 07202-3625 - Phone
- (908) 527-5000
- NPI assigned
- Sep 28, 2006
- Last updated
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA01961000 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 25MA01961000 | NJ |
Addresses
Primary practice location
225 Williamson St
Elizabeth, NJ 07202-3625
Mailing address
66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4947
Phone (732) 212-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1718401 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA01961000 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinitas Emergency Solutions PC | Emergency Medicine | Past | Accepting new patients |
| Trinitas Regional Medical Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Elizabeth, NJ
- NPI 1174646244
-
dba Trinitas Cranford Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cranford, NJ
- NPI 1518423698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1144312109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"address_2": "2ND FLOOR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014947",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WILLIAMSON ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023625",
"telephone_number": "908-527-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRICKO",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA01961000",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA01961000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1718401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
- Hope Harbor Community Care, LLC. (Hope Harbor Day Habilitation Elizabeth)
- Hope Harbor Elizabeth LLC (Hope Harbor Day Habilitation -EL)
- Je'Vonna Hopkins, D.C.
- Horsup (Horowitz-SupremoPharmacy and Surgical Supplies)
- Kathryn Ellen Howie, LCSW
- Rafeul Huda, MD
- Chase Kenneth Hudak, MD
- Hudson Premier Healthcare Partners
- Zahid Hussain, M.D.
- Meghan Hyer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.