Active NPI
Donn Matthew Hoosack, PA-C
- Physician Assistant
- Point Pleasant Beach, NJ
National Provider Identifier
1194777375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MP00132300
- Practice address
- 1517 Richmond Ave
Point Pleasant Beach, NJ 08742-3056 - Phone
- (732) 295-6377
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MP00132300 | NJ | Primary |
Addresses
Primary practice location
1517 Richmond Ave
Point Pleasant Beach, NJ 08742-3056
Mailing address
2 Ranch Blvd
Manahawkin, NJ 08050-7828
Phone (609) 978-2750
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Ranch Blvd
Manahawkin, NJ 08050-7828
Phone (609) 978-2750
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (954) 939-5000
Hospital & facility affiliations
- Community Medical Center
- Ocean Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MP00132300 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidal Emergency Physicians LLC | Past | Accepting new patients | |
| Jersey Shore Surgery and Vein Center, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Surgical Physician Assistant
- Manahawkin, NJ
- NPI 1235497561
-
- Vascular Surgery Physician
- Toms River, NJ
- NPI 1841349230
-
- Emergency Medicine Physician
- Neptune, NJ
- NPI 1649222407
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toms River, NJ
- NPI 1013010917
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1194777375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 RANCH BLVD",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080507828",
"telephone_number": "609-978-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 RICHMOND AVE",
"city": "POINT PLEASANT BEACH",
"state": "NJ",
"postal_code": "087423056",
"telephone_number": "732-295-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOSACK",
"first_name": "DONN",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "MP00132300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant Beach, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.