Individual provider Active NPI

Daniel Masudul Huq, NP

  • Gerontology Nurse Practitioner
  • Teaneck, NJ
National Provider Identifier
1285230474
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01042900 Issued in NJ
Practice address
400 Frank W Burr Blvd FL 2
Teaneck, NJ 07666-6839
Phone
(201) 928-2300
Fax
(201) 692-3262
NPI assigned
Dec 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01042900 NJ Primary

Addresses

Primary practice location

400 Frank W Burr Blvd FL 2
Teaneck, NJ 07666-6839

Mailing address

3600 Route 66
FL 3
Neptune, NJ 07753-2645
Phone (732) 807-0877

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507000157 NJ Practitioner - Nurse Practitioner 6507275393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen County Improvement AuthorityGroup PAC ID 9032104047, 95 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

400 Frank W Burr Blvd
22 Hmhmg Specialty Care
Teaneck, NJ 07666-6700
Phone (201) 461-6200

Hospital & facility affiliations

  • Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
99.16
Improvement activities
40
Cost
72.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01042900NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Cardiovascular Partners, PC CurrentSince Apr 4, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Bergen County Improvement Authority CurrentSince Sep 25, 2025 Accepting new patients
Bergen County Improvement Authority CurrentSince Sep 25, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 Prospect Ave
#5
Hackensack, NJ 07601
Phone (551) 996-4218

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

650 From Rd
Ste 506
Paramus, NJ 07652
Phone (551) 996-1342

400 Frank W Burr Blvd
Ste 22
Teaneck, NJ 07666
Phone (201) 907-0442

400 Frank W Burr Blvd
Fl 2
Teaneck, NJ 07666
Phone (201) 928-2300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1285230474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66",
            "address_2": "FL 3",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANK W BURR BLVD FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666839",
            "telephone_number": "201-928-2300",
            "fax_number": "201-692-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUQ",
        "first_name": "DANIEL",
        "middle_name": "MASUDUL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01042900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.