Active NPI
Hilary Theodore Hanchuk, MD
- Psychiatry Physician
- Somerset, NJ
National Provider Identifier
1760447197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA0546790
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0423602 | Medicaid | NJ | |
| 606934C2E | Other | NJ | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Pennsylvania State University College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA0546790 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| Arlene Bonapace | Past | Accepting new patients | |
| Mari Dipasquale, DO LLC | Psychiatry | Past | 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.
-
- Psychiatric Hospital
- Morris Plains, NJ
- NPI 1336221878
-
- Clinical Psychologist
- Somerset, NJ
- NPI 1205033560
-
- Psychiatry Physician
- Somerset, NJ
- NPI 1134333933
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.