Individual provider Active NPI

Preston A Hupart, D.O.

  • Interventional Cardiology Physician
  • Jersey City, NJ
National Provider Identifier
1487610796
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MB06206400 Issued in NJ
Practice address
120 Franklin St
Jersey City, NJ 07307-2326
Phone
(201) 216-9791
Fax
(201) 216-1362
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MB06206400 NJ
Interventional Cardiology Physician 207RI0011X 25MB06206400 NJ Primary

Addresses

Primary practice location

120 Franklin St
Jersey City, NJ 07307-2326

Mailing address

120 Franklin St
Jersey City, NJ 07307-2326
Phone (201) 216-9791

Other identifiers 1

IdentifierTypeStateIssuer
6532209MedicaidNJ

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
I20050110001012 NJ Practitioner - Cardiovascular Disease (Cardiology) 9739137373 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

1900 Union Valley Rd
Hewitt, NJ 07421-3024
Phone (973) 248-0200

2035 Hamburg Tpke
Suite L
Wayne, NJ 07470-6251
Phone (973) 248-0200

2401 Palisade Ave
Union City, NJ 07087-4528
Phone (201) 867-5791

340 C Ramapo Valley Rd
Oakland, NJ 07436-2711
Phone (201) 416-4346

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 931-5000

Hospital & facility affiliations

  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2023 Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince May 1, 2019 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jun 3, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince May 15, 2014 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
GHCP Ekg Interpretation Panel, LLC CurrentSince Dec 11, 2001 Accepting new patients

Locations

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1900 Union Valley Rd
Ste 201
Hewitt, NJ 07421
Phone (973) 728-1188

120 Franklin St
Jersey City, NJ 07307
Phone (201) 216-9791

600 Pavonia Ave
Jersey City, NJ 07306
Phone (201) 216-0010

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

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

340C Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 416-4346

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

2035 Hamburg Tpke
Ste L
Wayne, NJ 07470
Phone (973) 248-0200

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: phupart61529@epicdirect.rwjbh.org
  • Direct secure messaging: preston.hupart@direct.christhospital.md

Organizations & group practices 6

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1487610796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FRANKLIN ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072326",
            "telephone_number": "201-216-9791",
            "fax_number": "201-216-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FRANKLIN ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072326",
            "telephone_number": "201-216-9791",
            "fax_number": "201-216-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPART",
        "first_name": "PRESTON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB06206400",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MB06206400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6532209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.