Active NPI
Peter Basil Hilaris, D.P.M.
- Podiatrist
- Hackensack, NJ
National Provider Identifier
1730199118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD1811
- Practice address
- 51 Summit Ave
Hackensack, NJ 07601-1262 - Phone
- (201) 343-5277
- Fax
- (201) 343-0878
- NPI assigned
- Aug 9, 2006
- Last updated
- Feb 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD1811 | NJ | Primary |
Addresses
Primary practice location
51 Summit Ave
Hackensack, NJ 07601-1262
Mailing address
51 Summit Ave
Hackensack, NJ 07601-1262
Phone (201) 343-5277
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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100127000177 | NJ | Practitioner - Podiatry | 9931241130 | Practice locations: Hackensack, NJ |
| O20100930083634 | NJ | DME Supplier - Physician - Podiatry | 0840319893 | Practice locations: Hackensack, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
51 Summit Ave
Hackensack, NJ 07601-1262
Phone (201) 343-5277
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2613 |
| Removal or shaving of skin growth | 928 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD1811 | NJ | MD | Podiatrist |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1730199118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011262",
"telephone_number": "201-343-5277",
"fax_number": "201-343-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011262",
"telephone_number": "201-343-5277",
"fax_number": "201-343-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILARIS",
"first_name": "PETER",
"middle_name": "BASIL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD1811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.