Individual provider Active NPI

Kevin Kaiwen Hsu, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Point Pleasant Boro, NJ
National Provider Identifier
1477740751
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME98648 Issued in FL
Practice address
1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2311
Phone
(732) 714-0070
Fax
(732) 714-0188
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME98648 FL Primary

Addresses

Primary practice location

1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2311

Mailing address

1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2311
Phone (732) 714-0070

Other practice location 1

728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone (732) 415-1401

Other practice location 2

4250 Fritch Dr
Bethlehem, PA 18020-9412
Phone (610) 954-9040

Other identifiers 3

IdentifierTypeStateIssuer
MD433529OtherPAMEDICAL LICENSE
ME98648OtherFLMEDICAL LICENSE
25MA08483700OtherNJNJ LICENSE

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
I20090909000202 NJ Practitioner - Physical Medicine and Rehabilitation 1153496203 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Sports Medicine Group, PCGroup PAC ID 3173580511, 15 clinicians
Spine and Sports Medicine of Barnegat LLCGroup PAC ID 8022246222, 4 clinicians
Spine and Sports Medicine of Tinton Falls, LLCGroup PAC ID 9931461696, 7 clinicians
Advanced Spine Care and Physical Rehabilitation,LLCGroup PAC ID 0749269637, 16 clinicians

Practice addresses (Care Compare)

1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2388
Phone 7327140070607

175 Gunning River Rd
Barnegat, NJ 08005-1436

4057 Asbury Ave
Tinton Falls, NJ 07753-7700

728 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone (732) 415-1401

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98648FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Medicine of Tinton Falls LLC CurrentSince Feb 7, 2018 Accepting new patients
Advanced Spine Care and Physical Rehabilitation,LLC CurrentSince Jul 26, 2009 Accepting new patients
Northeast Sports Medicine Group, PC Pain Medicine CurrentSince Aug 1, 2009 Accepting new patients
Theodore B Lygas MD F a C S PA Past Accepting new patients
Northeast Surgery Associates LLC PastSince Mar 3, 2024 Accepting new patients
Performance Spine and Sports Medicine of Newtown, LLC Past Accepting new patients
Performance Spine and Sports Medicine of Newtown, LLC Pain Medicine PastSince Dec 20, 2011 Accepting new patients

Locations

2080 W County Line Rd
Jackson, NJ 08527
Phone (732) 364-5123

728 Bennetts Mills Rd
Jackson, NJ 08527
Phone (732) 415-1401

728 Bennetts Mills Rd
Ste 1
Jackson, NJ 08527
Phone (732) 415-1401

1104 Arnold Ave
Ste A
Point Pleasant Boro, NJ 08742
Phone (732) 612-9948

4057 Asbury Ave
Ste 4
Tinton Falls, NJ 07753
Phone (732) 333-3099

Organizations & group practices 8

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 5

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1477740751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422311",
            "telephone_number": "732-714-0070",
            "fax_number": "732-714-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422311",
            "telephone_number": "732-714-0070",
            "fax_number": "732-714-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Bennetts Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085273850",
            "country_code": "US",
            "telephone_number": "732-415-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Fritch Dr",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180209412",
            "country_code": "US",
            "telephone_number": "610-954-9040",
            "fax_number": "610-954-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSU",
        "first_name": "KEVIN",
        "middle_name": "KAIWEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME98648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD433529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME98648",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA08483700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

Verify at the official NPI Registry.