Individual provider Active NPI

Christopher Hauglid, DO

  • Sports Medicine (Emergency Medicine) Physician
  • Rutherford, NJ
National Provider Identifier
1437656360
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
25MB11591400 Issued in NJ
Practice address
201 Route 17 FL 1202
Rutherford, NJ 07070-2557
Phone
(201) 975-2323
Fax
(201) 975-2325
NPI assigned
Apr 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 310538 NY
Sports Medicine (Emergency Medicine) Physician 207PS0010X 25MB11591400 NJ Primary

Addresses

Primary practice location

201 Route 17 FL 1202
Rutherford, NJ 07070-2557

Mailing address

201 Route 17 FL 1202
Rutherford, NJ 07070-2557
Phone (201) 975-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210526000726 NY Practitioner - Emergency Medicine 2466799028 Reassigns benefits to 3 organizations
I20221107000027 NJ Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 2466799028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310538NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Fpa Hospital Based CurrentSince Jul 1, 2021 Accepting new patients
Elizabethtown Community Hospital CurrentSince Dec 1, 2022 Accepting new patients
Elizabethtown Community Hospital CurrentSince Dec 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2022 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2022 Accepting new patients
Fpa Hospital Based Current Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 State Rt 17
Fl 1202
Rutherford, NJ 07070
Phone (201) 975-2323

1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233

638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

Organizations & group practices 10

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": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1437656360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17 FL 1202",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702557",
            "telephone_number": "201-975-2323",
            "fax_number": "201-975-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17 FL 1202",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702557",
            "telephone_number": "201-975-2323",
            "fax_number": "201-975-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGLID",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "310538",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB11591400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.