Individual provider Active NPI

Andre M Hu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marlton, NJ
National Provider Identifier
1194762971
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MA76317 Issued in NJ
Practice address
525 Route 73 S Ste 300
Marlton, NJ 08053-9644
Phone
(856) 267-5319
Fax
(856) 267-5483
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MA76317 NJ Primary

Addresses

Primary practice location

525 Route 73 S Ste 300
Marlton, NJ 08053-9644

Mailing address

525 Route 73 S 300
Marlton, NJ 08053-9644
Phone (856) 267-5319

Other identifiers 2

IdentifierTypeStateIssuer
2283221000OtherNJAMERIHEALTH HMO
001605005OtherNJHIGHMARK BLUE SHIELD ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahu@direct.care360.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000368 NJ Practitioner - Physical Medicine and Rehabilitation 5395939037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Route 73 S
Suite 300
Marlton, NJ 08053-9644
Phone (856) 267-5319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA76317NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Joint & Spine LLC Physical Medicine & Rehabilitation CurrentSince Apr 13, 2012 Accepting new patients
Kirshner Spine Institute, LLC CurrentSince Aug 12, 2019 Accepting new patients
Reconstructive Orthopedics, P.a. Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 6
Lawrenceville, NJ 08648
Phone (609) 896-0020

525 Route 73 S
Ste 302
Marlton, NJ 08053
Phone (856) 267-5629

525 Route 73 S
Ste 300
Marlton, NJ 08053
Phone (856) 267-5319

Interoperability endpoints

  • Direct secure messaging: ahu@synergyjs.kareodirect.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1194762971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-267-5319",
            "fax_number": "856-267-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 300",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539644",
            "telephone_number": "856-267-5319",
            "fax_number": "856-267-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HU",
        "first_name": "ANDRE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA76317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2283221000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "001605005",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahu@direct.care360.com",
            "affiliation": "N",
            "address_1": "525 Route 73 S Ste 300",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080539644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.