NPIMap

Individual provider Active NPI

Anna Harutyunyan, MD

  • Internal Medicine Physician
  • Paramus, NJ
National Provider Identifier
1467610014
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08285000 Issued in NJ
Practice address
230 E Ridgewood Ave
BLDG 6, Second Floor
Paramus, NJ 07652-4142
Phone
(201) 362-3978
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08285000 NJ Primary

Addresses

Primary practice location

230 E Ridgewood Ave
BLDG 6, Second Floor
Paramus, NJ 07652-4142

Mailing address

28 Woodcrest Dr
Woodcliff Lake, NJ 07677-7628
Phone (201) 362-3978

Other identifiers 1

IdentifierTypeStateIssuer
0206512MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000824 NJ Practitioner - Internal Medicine 9931285830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 781-5581

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.35 of 100Reported as individual
Quality
91.4
Improvement activities
40
Cost
72.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245189NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Medical Group of Bergen PC Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Pascack Physician Services CurrentSince Dec 23, 2017 Accepting new patients
Old Hook Hospitalists LLC CurrentSince Dec 23, 2017 Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Bergen County Improvement Authority Past Accepting new patients
Bergen County Improvement Authority Past Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

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

230 E Ridgewood Ave
Bldg 6
Paramus, NJ 07652
Phone (201) 225-4700

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

300 Old Hook Rd
Westwood, NJ 07675
Phone (201) 566-2675

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Organizations & group practices 9

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 4

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1467610014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WOODCREST DR",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777628",
            "telephone_number": "201-362-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "address_2": "BLDG 6, SECOND FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-362-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARUTYUNYAN",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08285000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206512",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.