Individual provider Active NPI

Richard Austin Hajjar, M.D.

  • Interventional Cardiology Physician
  • Oakland, NJ
National Provider Identifier
1588028138
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA106900 Issued in NJ
Practice address
43 Yawpo Ave Ste 2
Oakland, NJ 07436-2736
Phone
(201) 337-0066
NPI assigned
Apr 11, 2016
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Interventional Cardiology Physician 207RI0011X 25MA106900 NJ Primary

Addresses

Primary practice location

43 Yawpo Ave Ste 2
Oakland, NJ 07436-2736

Mailing address

43 Yawpo Ave Ste 2
Oakland, NJ 07436-2736
Phone (201) 337-0066

Other practice location 1

185 S Orange Ave
Dept of Medicine I-506
Newark, NJ 07103-2757
Phone (973) 972-4595

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
I20240417001622 NJ Practitioner - Cardiovascular Disease (Cardiology) 1254778103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William K Lee MD PAGroup PAC ID 5294760161, 11 clinicians
Valley Interventional AssociatesGroup PAC ID 6204293327, 3 clinicians

Practice addresses (Care Compare)

43 Yawpo Ave
Oakland, NJ 07436-2714
Phone (201) 337-0066

43 Yawpo Ave
Suite 7
Oakland, NJ 07436-2717
Phone (201) 416-8080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA106900NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William K Lee MD PA CurrentSince Jun 1, 2024 Accepting new patients
Valley Physician Services PC Past Accepting new patients

Locations

200 Fairfield Rd
Fairfield, NJ 07004
Phone (973) 256-1799

43 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 2
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 5
Oakland, NJ 07436
Phone (201) 405-0011

43 Yawpo Ave
Ste 7
Oakland, NJ 07436
Phone (201) 416-8080

43 Yawpo Ave
Ste 9
Oakland, NJ 07436
Phone (201) 337-0066

Interoperability endpoints

  • Direct secure messaging: rhajjar527756@direct.ahsys.org
  • Direct secure messaging: richard.hajjar.1@27406.direct.athenahealth.com
  • Direct secure messaging: richard.hajjar.1@5622.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1588028138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE STE 2",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362736",
            "telephone_number": "201-337-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE STE 2",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362736",
            "telephone_number": "201-337-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave",
            "address_2": "Dept of Medicine I-506",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJJAR",
        "first_name": "RICHARD",
        "middle_name": "AUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA106900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

Verify at the official NPI Registry.