NPIMap

Individual provider Active NPI

Danny B Haddad, MD

  • Nephrology Physician
  • Jersey City, NJ
National Provider Identifier
1235351297
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09040200 Issued in NJ
Practice address
26 Greenville Ave
Jersey City, NJ 07305-2608
Phone
(201) 333-8222
Fax
(201) 333-0095
NPI assigned
May 2, 2007
Last updated
May 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA09040200 NJ Primary

Addresses

Primary practice location

26 Greenville Ave
Jersey City, NJ 07305-2608

Mailing address

26 Greenville Ave
Jersey City, NJ 07305-2608
Phone (201) 333-8222

Other practice location 1

377 Jersey Ave Ste 220
Jersey City, NJ 07302-4396
Phone (201) 333-8222

Other identifiers 1

IdentifierTypeStateIssuer
0293881MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhaddad35289@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000395 NJ Practitioner - NephrologyPractitioner - Internal Medicine 2062674575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Kidney Care LLCGroup PAC ID 1052695137, 9 clinicians

Practice addresses (Care Compare)

26 Greenville Ave
Jersey City, NJ 07305-2608
Phone (201) 333-8222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09040200NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Kidney Care LLC Nephrology CurrentSince Oct 1, 2017 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Stephen Thomsen MD PA Nephrology PastSince Jul 1, 2003 Accepting new patients

Locations

862 Broadway
Bayonne, NJ 07002
Phone (201) 333-8222

26 Greenville Ave
Jersey City, NJ 07305
Phone (201) 333-8222

377 Jersey Ave
Ste 220
Jersey City, NJ 07302
Phone (201) 309-2380

510 31st St
Bsmt
Union City, NJ 07087
Phone (201) 866-3322

Interoperability endpoints

  • Direct secure messaging: danny.haddad@direct.christhospital.md
  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14360/brand/9/csg/1/fhir/r4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1235351297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Jersey Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073024396",
            "country_code": "US",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "DANNY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09040200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293881",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhaddad35289@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "26 Greenville Ave",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073052608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.