Andrew Robert Hall, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA09836600 Issued in NJ

Practice address

401 S Van Brunt St
3Rd Floor
Englewood, NJ 07631-4604

Phone

(201) 569-2770

Fax

(201) 808-6786

NPI assigned

Jan 26, 2010

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

University of Texas Medical School at Houston, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.hall.1@28717.direct.athenahealth.com

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.

• A Hall Enterprises PLLC

  dba Austin Spine and Wellness

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Austin, TX
  • NPI 1538676812
  Medicare reassignment NPD Authorized official
• Brushy Creek Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1235773151
  Medicare reassignment NPD
• Lake Travis Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1851803688
  Medicare reassignment NPD

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1336470640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-569-2770",
            "fax_number": "201-808-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-569-2770",
            "fax_number": "201-808-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA09836600",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA09836600",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "53918",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "DR0053918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320820 NON-BILLING",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21530343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Habashi
• Glenn Robert Haber, DPM
• Yonina Beth Haber, M.A.
• Kriss Hadjistavrinos, M.D.
• Jill Hagen, DPM
• Richard J Hamilton Sr., CADC
• Nancy Robin Hamrick, LCSW
• Eugene Han
• Paul S Han, MD
• Sol Han, DR.

• Physical Medicine & Rehabilitation Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.

Verify at the official NPI Registry.