Brendan Hastings, MMS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00494200 Issued in NJ

Practice address

1210 US-130
Cinnaminson, NJ 08077

Phone

(856) 829-0407

NPI assigned

Sep 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

51.39 of 100Reported as group

Quality

64.84

Promoting interoperability

0

Improvement activities

0

Cost

73.11

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kane Wound Care LLC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1275869802

  PA

  Medicare reassignment Care Compare group
• Jersey Irish Medical

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739
  Medicare reassignment
• Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
  • NPI 1477927754
  Medicare reassignment

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1790260537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 QUEEN LILY RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 US-130",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-829-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "BRENDAN",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00494200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Gupta, DMD
• Leah V Guzzardo, PT, DPT, PCS
• Hannah Medical Group LLC
• Dane Hardy
• Tehzeeb Hassan, DMD
• Nicole L Hawk, PA-C
• Hamid Hayat, DMD
• Rhonda Lynn Hazell, D.P.M
• Healthmark Counseling, LLC
• Heart of Gold Homecare, LLC

• Physician Assistant in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.

Verify at the official NPI Registry.