Individual provider Active NPI

Hilary Theodore Hanchuk, MD

  • Psychiatry Physician
  • Somerset, NJ
National Provider Identifier
1760447197
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA0546790 Issued in NJ
Practice address
764 Easton Ave
Ste 6
Somerset, NJ 08873-1856
Phone
(908) 781-6242
Fax
(908) 782-6242
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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 MA0546790 NJ Primary

Addresses

Primary practice location

764 Easton Ave
Ste 6
Somerset, NJ 08873-1856

Mailing address

PO Box 187
Peapack, NJ 07977-0187
Phone (908) 781-6242

Other identifiers 2

IdentifierTypeStateIssuer
0423602MedicaidNJ
606934C2EOtherNJMEDICARE BILLING NO.

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
I20080115000113 NJ Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6002997269 Reassigns benefits to 1 organization
Practice locations: Somerset, NJ

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Pennsylvania State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800

764 Easton Ave
Suite 6
Somerset, NJ 08873-1856
Phone (908) 781-6242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA0546790NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Jun 9, 2012 Accepting new patients
Arlene Bonapace PastSince Jun 19, 2007 Accepting new patients
Mari Dipasquale, DO LLC Psychiatry PastSince Mar 8, 2010 Accepting new patients

Locations

200 Sanatorium Rd
Glen Gardner, NJ 08826
Phone (908) 537-2141

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1760447197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "PEAPACK",
            "state": "NJ",
            "postal_code": "079770187",
            "telephone_number": "908-781-6242",
            "fax_number": "908-781-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 EASTON AVE",
            "address_2": "STE 6",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731856",
            "telephone_number": "908-781-6242",
            "fax_number": "908-782-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCHUK",
        "first_name": "HILARY",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA0546790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423602",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NO.",
            "identifier": "606934C2E",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.