Active NPI
Charles David Hunt, M.D.
- Neurological Surgery Physician
- Hoboken, NJ
National Provider Identifier
1184784381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MA047785
- Practice address
- 1031 Garden St
Hoboken, NJ 07030-4302 - Phone
- (013) 417-5502
- Fax
- (201) 653-2038
- NPI assigned
- Dec 11, 2006
- Last updated
- Jan 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MA047785 | NJ | Primary |
Addresses
Primary practice location
1031 Garden St
Hoboken, NJ 07030-4302
Mailing address
1031 Garden St
Hoboken, NJ 07030-4302
Phone (013) 417-5502
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104957350 | Medicaid | MI | |
| 104957332 | Medicaid | MI | |
| 104957341 | Medicaid | MI | |
| 140E210830 | Other | MI | BLUE CROSS BLUE SHIELD MI |
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 |
|---|---|---|---|
| MA047785 | NJ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center Interventional Radiology FPP | Past | Accepting new patients | |
| Maimonides Medical Center - Interventional Neuro Associates FPP | Past | Accepting new patients | |
| Marquette General Hospital, Inc. | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Neuroradiology Physician
- Brooklyn, NY
- NPI 1669660759
-
- Neuroradiology Physician
- Brooklyn, NY
- NPI 1326281890
-
- Neurological Surgery Physician
- Marquette, MI
- NPI 1972669273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1184784381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 GARDEN ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304302",
"telephone_number": "013-417-5502",
"fax_number": "201-653-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 GARDEN ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304302",
"telephone_number": "013-417-5502",
"fax_number": "201-653-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "CHARLES",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "MA047785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104957350",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104957332",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104957341",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "140E210830",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.