Individual provider Active NPI

David Hyppolite, M.D.

  • Internal Medicine Physician
  • Red Bank, NJ
National Provider Identifier
1508856394
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61388 Issued in NJ
Practice address
66C Bridge Ave
Red Bank, NJ 07701-1160
Phone
(732) 747-6600
Fax
(732) 747-6001
NPI assigned
Oct 24, 2005
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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 61388 NJ Primary

Addresses

Primary practice location

66C Bridge Ave
Red Bank, NJ 07701-1160

Mailing address

66C Bridge Ave
Red Bank, NJ 07701-1160
Phone (732) 747-6600

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
I20050927000742 NJ Practitioner - Internal Medicine 8628003837 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61388NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay Saaraswat Medical LLC Internal Medicine CurrentSince Mar 2, 2021 Accepting new patients
Dessalines Hospitalist LLC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Mana Medical LLC Internal Medicine PastSince Mar 7, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

648 Holmdel Rd
Ste 300
Hazlet, NJ 07730
Phone (732) 264-8868

3 Hospital Plz
Ste 409
Old Bridge, NJ 08857
Phone (732) 632-6090

252 Broad St
Ste 1
Red Bank, NJ 07701
Phone (732) 747-6600

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1508856394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66C BRIDGE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011160",
            "telephone_number": "732-747-6600",
            "fax_number": "732-747-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66C BRIDGE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011160",
            "telephone_number": "732-747-6600",
            "fax_number": "732-747-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYPPOLITE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "61388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.