Individual provider Active NPI

Fumitaka Hayashi, PHD, MD

  • Psychiatry Physician
  • Kinnelon, NJ
National Provider Identifier
1255656344
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09692700 Issued in NJ
Practice address
14 Beechwood LN
Kinnelon, NJ 07405-2464
Phone
(973) 527-3372
NPI assigned
Mar 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09692700 NJ Primary

Addresses

Primary practice location

14 Beechwood LN
Kinnelon, NJ 07405-2464

Mailing address

14 Beechwood LN
Kinnelon, NJ 07405-2464
Phone (973) 527-3372

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
I20150803000492 NJ Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3274755251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Rutgers New Jersey Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kashoqa Psychiatry Associates PCGroup PAC ID 8921279472, 2 clinicians

Practice addresses (Care Compare)

506 Hamburg Tpke
Suite 203
Wayne, NJ 07470-2069
Phone (973) 633-1996

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09692700NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kashoqa Psychiatry Associates PC Psychiatry CurrentSince Jul 9, 2015 Accepting new patients

Locations

506 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 633-1996

Organizations & group practices 1

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1255656344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BEECHWOOD LN",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052464",
            "telephone_number": "973-527-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BEECHWOOD LN",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052464",
            "telephone_number": "973-527-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI",
        "first_name": "FUMITAKA",
        "credential": "PHD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09692700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

Verify at the official NPI Registry.