Jae Geun Hyun, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

241219 Issued in NY

Practice address

400 Sylvan Ave Ste 103
Englewood Cliffs, NJ 07632-2717

Phone

(201) 227-1455

Fax

(201) 227-1499

NPI assigned

Jun 5, 2008

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• P & I Gastroenterology PC

  • Gastroenterology Physician
  • Englewood Cliffs, NJ
  • NPI 1003251240
  Medicare reassignment NPD Authorized official
• Hana Gastroenterology PC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1104139070
  Medicare reassignment NPD
• S W Baik M D P a

  • Specialist
  • Fort Lee, NJ
  • NPI 1790746782
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1700045598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "PO BOX 1069",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SYLVAN AVE STE 103",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322717",
            "telephone_number": "201-227-1455",
            "fax_number": "201-227-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15301 Northern Blvd Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545038",
            "country_code": "US",
            "telephone_number": "718-321-3210",
            "fax_number": "718-321-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYUN",
        "first_name": "JAE GEUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "241219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.