Individual provider Active NPI

Ron Hirsh, MD

  • Psychiatry Physician
  • Fair Lawn, NJ
National Provider Identifier
1710925094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06673600 Issued in NJ
Practice address
11-15 Elaine Ter
Fair Lawn, NJ 07410-5730
Phone
(201) 410-0886
NPI assigned
Jun 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06673600 NJ Primary

Addresses

Primary practice location

11-15 Elaine Ter
Fair Lawn, NJ 07410-5730

Mailing address

11-15 Elaine Ter
Fair Lawn, NJ 07410-5730
Phone (201) 410-0886

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
I20050915000805 NJ Practitioner - Psychiatry 3678506045 Reassigns benefits to 2 organizations
Practice locations: Cedar Grove, NJ; Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 -25 Plaza Rd
Suite N26
Fair Lawn, NJ 07410-3548
Phone (201) 410-0886

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06673600NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Jul 17, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 3, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Feb 3, 2020 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry Current Accepting new patients
County of Essex Past Accepting new patients
St. Joseph's Healthcare, Inc. Past Accepting new patients
County of Essex Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0480

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

Interoperability endpoints

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710925094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-15 ELAINE TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105730",
            "telephone_number": "201-410-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-15 ELAINE TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105730",
            "telephone_number": "201-410-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSH",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06673600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.