Individual provider Active NPI

Emmanuel Hriso, MD

  • Psychiatry Physician
  • Woodbridge, NJ
National Provider Identifier
1942217328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA47778 Issued in NJ
Practice address
54 Main St
Woodbridge, NJ 07095-2816
Phone
(732) 855-1199
Fax
(732) 855-1138
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA47778 NJ Primary

Addresses

Primary practice location

54 Main St
Woodbridge, NJ 07095-2816

Mailing address

380 Mountain Rd Apt 1003
Union City, NJ 07087-7306
Phone (201) 436-4080

Other identifiers 1

IdentifierTypeStateIssuer
4521501MedicaidNJ

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
I20061220000223 NJ Practitioner - Psychiatry 5092714022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emmanuel Hriso MD PAGroup PAC ID 4183624828, 3 clinicians

Practice addresses (Care Compare)

380 Mountain Rd
Apt 1003
Union City, NJ 07087-7306

54 Main St
Woodbridge, NJ 07095-2816
Phone (732) 285-1199

Merit-based Incentive Payment System (MIPS)

Final score
22.79 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA47778NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Health Systems CurrentSince Apr 1, 2014 Accepting new patients
Emmanuel Hriso MD PA Psychiatry CurrentSince Sep 11, 1991 Accepting new patients
Shan Nagendra,M.D.P.C. Past Accepting new patients
Paul Hriso MD PA Psychiatry Past Accepting new patients

Locations

354 Avenue C
Ph
Bayonne, NJ 07002
Phone (201) 535-5959

354 Avenue C
Bayonne, NJ 07002
Phone (201) 437-1775

54 Main St
Woodbridge, NJ 07095
Phone (732) 285-1199

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942217328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MOUNTAIN RD APT 1003",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070877306",
            "telephone_number": "201-436-4080",
            "fax_number": "201-436-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952816",
            "telephone_number": "732-855-1199",
            "fax_number": "732-855-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRISO",
        "first_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA47778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4521501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.