Individual provider Active NPI

Hannah Elizabeth Koutishian, APN

  • Nurse Practitioner
  • Neptune, NJ
National Provider Identifier
1780546903
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15470000 Issued in NJ
Practice address
444 Neptune Blvd
Neptune, NJ 07753-4144
Phone
(732) 775-5300
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15470000 NJ Primary

Addresses

Primary practice location

444 Neptune Blvd
Neptune, NJ 07753-4144

Mailing address

444 Neptune Blvd
Neptune, NJ 07753-4144
Phone (732) 775-5300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216001715 NJ Practitioner - Nurse Practitioner 9234619669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Cardiology LLCGroup PAC ID 3274505359, 11 clinicians

Practice addresses (Care Compare)

444 Neptune Blvd
Neptune, NJ 07753-4144
Phone 7327755300141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15470000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Cardiology LLC CurrentSince Jan 15, 2026 Accepting new patients

Locations

444 Neptune Blvd
Neptune City, NJ 07753
Phone (732) 462-6666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHIBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1780546903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-775-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-775-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTISHIAN",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15470000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.