Individual provider Active NPI

Paul Michael Ahn, D.O.

  • Family Medicine Physician
  • Metuchen, NJ
National Provider Identifier
1609934298
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB63912 Issued in NJ
Practice address
173 Essex Ave
Suite 101
Metuchen, NJ 08840-2281
Phone
(732) 321-5100
Fax
(732) 321-5252
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB63912 NJ Primary

Addresses

Primary practice location

173 Essex Ave
Suite 101
Metuchen, NJ 08840-2281

Mailing address

173 Essex Ave
Suite101
Metuchen, NJ 08840-2281
Phone (732) 321-5100

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
I20080321000002 NJ Practitioner - Family Practice 1052497781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

173 Essex Ave
Suite 101
Metuchen, NJ 08840-2281
Phone (732) 321-5100

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020
  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB63912NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Family Practice, LLC Family Medicine CurrentSince Sep 7, 1996 Accepting new patients
Oaktree Family Practice Family Medicine Past Accepting new patients

Locations

173 Essex Ave
Ste 101
Metuchen, NJ 08840
Phone (732) 321-5100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDADCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDADCA/Endpoint/EDADCA

Organizations & group practices 2

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 4

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1609934298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 ESSEX AVE",
            "address_2": "SUITE101",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402281",
            "telephone_number": "732-321-5100",
            "fax_number": "732-321-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 ESSEX AVE",
            "address_2": "SUITE 101",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402281",
            "telephone_number": "732-321-5100",
            "fax_number": "732-321-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB63912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.