Active NPI
Otakar R Hubschmann MD PA
- Neurological Surgery Physician
- West Orange, NJ
National Provider Identifier
1790990380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 25MA0315500
- Legal business name
- OTAKAR R HUBSCHMANN MD PA
- Practice address
- 101 Old Short Hills Rd
Suite 409
West Orange, NJ 07052-1000 - Phone
- (973) 322-6732
- Fax
- (973) 322-6545
- NPI assigned
- May 14, 2007
- Last updated
- Dec 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen Mortell Koziol
- Title
- RN
- Phone
- (973) 322-6732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 25MA0315500 | NJ | Primary |
Addresses
Primary practice location
101 Old Short Hills Rd
Suite 409
West Orange, NJ 07052-1000
Mailing address
101 Old Short Hills Rd
Suite 409
West Orange, NJ 07052-1000
Phone (973) 322-6732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Old Short Hills Rd
Ste 409
West Orange, NJ 07052
Phone (973) 322-6732
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/93462298-4bdc-4b5e-ab96-39df8bb9a9b2/
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- West Orange, NJ
- NPI 1528126711
-
- Neurological Surgery Physician
- West Orange, NJ
- NPI 1942378070
-
- Neurological Surgery Physician
- West Islip, NY
- NPI 1801944905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1790990380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD",
"address_2": "SUITE 409",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521000",
"telephone_number": "973-322-6732",
"fax_number": "973-322-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD SHORT HILLS RD",
"address_2": "SUITE 409",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521000",
"telephone_number": "973-322-6732",
"fax_number": "973-322-6545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTAKAR R HUBSCHMANN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "KOZIOL",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "MORTELL",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "973-322-6732"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "25MA0315500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.