Individual provider Active NPI

Eric Samuel Hasbun, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1912567199
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MT219249 Issued in PA
Practice address
230 N Broad St
Philadelphia, PA 19102-1178
Phone
(856) 840-9359
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT219249 PA Primary

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1178

Mailing address

16 Abington Rd
Mount Laurel, NJ 08054-4719
Phone (856) 840-9359

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628003935 NJ Practitioner - Emergency Medicine 3678932399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Cooper Medical School of Rowan University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians
Ihpnj ER LLCGroup PAC ID 3870963168, 36 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9619
Phone (856) 247-3000

29 E 29TH St
Bayonne, NJ 07002-4695
Phone (201) 858-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT219249PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihpnj ER LLC Emergency Medicine CurrentSince Jun 14, 2023 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1912567199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ABINGTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544719",
            "telephone_number": "856-840-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021178",
            "telephone_number": "856-840-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASBUN",
        "first_name": "ERIC",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT219249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.