Individual provider Active NPI

Paul A Hriso, MD PA

  • Psychiatry Physician
  • Bayonne, NJ
National Provider Identifier
1295754158
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA59033 Issued in NJ
Practice address
354 Avenue C
Bayonne, NJ 07002-1412
Phone
(201) 437-1775
Fax
(201) 436-1601
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 MA59033 NJ Primary

Addresses

Primary practice location

354 Avenue C
Bayonne, NJ 07002-1412

Mailing address

100 Matthew Drive
Bedminster, NJ 07921-2622
Phone (201) 437-1775

Other identifiers 1

IdentifierTypeStateIssuer
6903801MedicaidNJ

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
I20060124000069 NJ Practitioner - Psychiatry 5395769129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paul Hriso MD PAGroup PAC ID 1153418033, 3 clinicians

Practice addresses (Care Compare)

354 Ave C
Bayonne, NJ 07002-1412
Phone (201) 437-1775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA59033NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Hriso MD PA Psychiatry CurrentSince Jan 26, 1996 Accepting new patients
Shan Nagendra,M.D.P.C. Past Accepting new patients

Locations

354 Avenue C
Bayonne, NJ 07002
Phone (201) 437-1775

354 Avenue C
Ph
Bayonne, NJ 07002
Phone (201) 535-5959

654 Avenue C
Bayonne, NJ 07002
Phone (201) 436-0518

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1295754158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MATTHEW DRIVE",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212622",
            "telephone_number": "201-437-1775",
            "fax_number": "201-436-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021412",
            "telephone_number": "201-437-1775",
            "fax_number": "201-436-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRISO",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA59033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6903801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.