Active NPI
HB Group, Inc
- Facial Plastic Surgery Physician
- Holmdel, NJ
National Provider Identifier
1881027308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- MA72196
- Legal business name
- HB GROUP, INC
- Practice address
- 100 Commons Way Ste 701
Holmdel, NJ 07733-2935 - Phone
- (732) 796-0182
- Fax
- (732) 796-0186
- NPI assigned
- Aug 20, 2013
- 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
- Mrs. Seulkee Kim
- Title
- Owner
- Phone
- (732) 796-0182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | MA72196 | NJ | Primary |
Addresses
Primary practice location
100 Commons Way Ste 701
Holmdel, NJ 07733-2935
Mailing address
100 Commons Way Ste 701
Holmdel, NJ 07733-2935
Phone (732) 796-0182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131017000052 | NJ | Part B Supplier - Clinic/Group Practice | 0547494031 |
Receives reassigned benefits from 1 practitioner Practice locations: Holmdel, NJ; Old Bridge, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1881027308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMONS WAY STE 701",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332935",
"telephone_number": "732-796-0182",
"fax_number": "732-796-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMONS WAY STE 701",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332935",
"telephone_number": "732-796-0182",
"fax_number": "732-796-0186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HB GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "SEULKEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-796-0182",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "MA72196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.