Organization Active NPI

Joseph K Hyon DO PA

  • Internal Medicine Physician
  • Oradell, NJ
National Provider Identifier
1710938956
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOSEPH K HYON DO PA
Practice address
555 Kinderkamack Rd Ste D
Oradell, NJ 07649-1517
Phone
(201) 265-1133
Fax
(201) 265-1135
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Dr. Joseph K Hyon, DONPI 1245281773
Title
Authorized Official
Phone
(201) 265-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NJ Primary

Addresses

Primary practice location

555 Kinderkamack Rd Ste D
Oradell, NJ 07649-1517

Mailing address

555 Kinderkamack Rd Ste D
Oradell, NJ 07649-1517
Phone (201) 265-1133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060713000288 NJ Part B Supplier - Clinic/Group Practice 0547273690 Receives reassigned benefits from 1 practitioner
Practice locations: Westwood, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2147369Joseph K Hyon DO PA555 Kinderkamack Road, Suite D, Oradell, NJ 07649Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

Locations

555 Kinderkamack Rd
Ste D
Oradell, NJ 07649
Phone (201) 265-1133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1710938956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KINDERKAMACK RD STE D",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491517",
            "telephone_number": "201-265-1133",
            "fax_number": "201-265-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KINDERKAMACK RD STE D",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491517",
            "telephone_number": "201-265-1133",
            "fax_number": "201-265-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH K HYON DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "HYON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "201-265-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.