Active NPI
Hannah Huan
- Physician Assistant
- Englewood Cliffs, NJ
National Provider Identifier
1962921098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00512600
- Practice address
- 700 E Palisade Ave
Englewood Cliffs, NJ 07632-3058 - Phone
- (201) 820-5280
- NPI assigned
- Sep 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AZ | ||
| Physician Assistant | 363A00000X | 25MP00512600 | NJ | Primary |
Addresses
Primary practice location
700 E Palisade Ave
Englewood Cliffs, NJ 07632-3058
Mailing address
625 Chestnut St
Township of Washington, NJ 07676-4335
Phone (201) 961-3432
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221229000785 | NJ | Practitioner - Physician Assistant | 5799051496 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177
521 Livingston St
Suite 116
Norwood, NJ 07648-1358
Phone (201) 267-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am PM Walk in Urgent Care Clinic | Current | Accepting new patients | |
| Am PM Primary Care | Past | Accepting new patients |
Locations
19 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-0177
Interoperability endpoints
- hhuan544858@direct.ahsys.org
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Bergenfield, NJ
- NPI 1083045694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1962921098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CHESTNUT ST",
"city": "TOWNSHIP OF WASHINGTON",
"state": "NJ",
"postal_code": "076764335",
"telephone_number": "201-961-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E PALISADE AVE",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323058",
"telephone_number": "201-820-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUAN",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-09",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00512600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.