NPIMap

Organization Active NPI

Hunterdon Medical Center

Doing business as Psychiatric Associates of Hunterdon

  • Psychiatry Physician
  • Flemington, NJ
National Provider Identifier
1629130307
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HUNTERDON MEDICAL CENTER
Doing business as
Psychiatric Associates of Hunterdon
Practice address
190 State Route 31
Suite 100
Flemington, NJ 08822-5773
Phone
(908) 788-6654
Fax
(908) 788-6452
NPI assigned
Dec 15, 2006
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Guy J Hoffman
Title
Chief Revenue Officer
Phone
(908) 237-5495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

190 State Route 31
Suite 100
Flemington, NJ 08822-5773

Mailing address

190 State Route 31
Suite 100
Flemington, NJ 08822-5773
Phone (908) 788-6654

Other identifiers 1

IdentifierTypeStateIssuer
7995903MedicaidNJ

Other names 1

  • Psychiatric Associates of Hunterdon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040508000014 NJ Part B Supplier - Clinic/Group Practice 9830009711 Receives reassigned benefits from 15 practitioners
Practice locations: Flemington, NJ

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Geriatric SVCS Prac16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hunterdon Medical CenterFlemington, NJ, CCN 310005 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1629130307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 31",
            "address_2": "SUITE 100",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225773",
            "telephone_number": "908-788-6654",
            "fax_number": "908-788-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 31",
            "address_2": "SUITE 100",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225773",
            "telephone_number": "908-788-6654",
            "fax_number": "908-788-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERDON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "908-237-5495"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7995903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Associates of Hunterdon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.