Active NPI
Richard D Hulse, PA-C
- Surgical Physician Assistant
- Neptune, NJ
National Provider Identifier
1720164759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00134000
- Practice address
- 1944 State Highway 33
Jersey Shore University Medical Center
Neptune, NJ 07754 - Phone
- (732) 776-4622
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00134000 | NJ | Primary |
Addresses
Primary practice location
1944 State Highway 33
Jersey Shore University Medical Center
Neptune, NJ 07754
Mailing address
1515 Walnut St
Wall Township, NJ 07719-4906
Phone (732) 556-6449
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Central Jersey Rehabilitation Medicine, LLC | Past | Accepting new patients | |
| Meridian Medical Group-Retail Clinic PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
Interoperability endpoints
- richard.hulse@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 4
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Physical Medicine & Rehabilitation Physician
- Freehold, NJ
- NPI 1679520480
-
- Nurse Practitioner
- Neptune, NJ
- NPI 1578511010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720164759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 WALNUT ST",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077194906",
"telephone_number": "732-556-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 STATE HIGHWAY 33",
"address_2": "JERSEY SHORE UNIVERSITY MEDICAL CENTER",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "07754",
"telephone_number": "732-776-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSE",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00134000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.