NPIMap

Individual provider Active NPI

Erhan Kucuk, M.D.

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1528069416
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05418800 Issued in NJ
Practice address
508 Hamburg Tpke
Suite 102
Wayne, NJ 07470-8482
Phone
(973) 595-0096
Fax
(973) 595-6414
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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 25MA05418800 NJ Primary

Addresses

Primary practice location

508 Hamburg Tpke
Suite 102
Wayne, NJ 07470-8482

Mailing address

508 Hamburg Tpke
Suite 102
Wayne, NJ 07470-8482
Phone (973) 595-0096

Other identifiers 1

IdentifierTypeStateIssuer
5051908MedicaidNJ

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
I20050623000532 NJ Practitioner - Internal Medicine 9133021397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Associates of Northern Jersey, P.a.Group PAC ID 4183610520, 14 clinicians

Practice addresses (Care Compare)

22 -02 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Complete Care at Wayne Hills Rehab & Resp Center Nursing home, Wayne, NJ, CCN 315110
  • Excel Care at Wayne Nursing home, Wayne, NJ, CCN 315103

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05418800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Heart & Vascular Associates of Northern Jersey, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine Past Accepting new patients

Locations

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

297 Passaic St
Garfield, NJ 07026
Phone (973) 365-1338

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

508 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-0046

Organizations & group practices 3

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 8

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1528069416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-595-0096",
            "fax_number": "973-595-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-595-0096",
            "fax_number": "973-595-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCUK",
        "first_name": "ERHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05418800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.