Individual provider Active NPI

Edward Hahn Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Maywood, NJ
National Provider Identifier
1356669162
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA09251900 Issued in NJ
Practice address
113 W Essex St Ste 204
Maywood, NJ 07607-1023
Phone
(201) 289-5551
Fax
(201) 843-2390
NPI assigned
May 4, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 25MA09251900 NJ Primary

Addresses

Primary practice location

113 W Essex St Ste 204
Maywood, NJ 07607-1023

Mailing address

113 W Essex St
Ste 204
Maywood, NJ 07607-1023
Phone (201) 289-5551

Other practice location 1

195 Eastern Blvd
Suite 200
Glastonbury, CT 06033-1208
Phone (201) 421-6426

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
I20171205000050 NJ Practitioner - Plastic and Reconstructive Surgery 7517253412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rutgers New Jersey Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Plastic Surgery CenterGroup PAC ID 8921060484, 88 clinicians

Practice addresses (Care Compare)

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Center Plastic and Reconstructive Surgery CurrentSince Feb 9, 2025 Accepting new patients
Frank Ciminello Medical, PC CurrentSince Oct 11, 2017 Accepting new patients
The Woods O.R., Inc. PastSince May 18, 2025 Accepting new patients

Locations

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

113 W Essex St
Ste 204
Maywood, NJ 07607
Phone (201) 289-5551

200 Schulz Dr
Ste 2
Red Bank, NJ 07701

331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101

535 Sycamore Ave
Shrewsbury, NJ 07702
Phone (737) 741-0970

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 2

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356669162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST",
            "address_2": "STE 204",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "201-289-5551",
            "fax_number": "201-843-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST STE 204",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "201-289-5551",
            "fax_number": "201-843-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Eastern Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060331208",
            "country_code": "US",
            "telephone_number": "201-421-6426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA09251900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.