Individual provider Active NPI

Vahe Hagopian, MD

  • Anesthesiology Physician
  • Clifton, NJ
National Provider Identifier
1982665683
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA62723 Issued in NJ
Practice address
1117 Route 46
Suite 303
Clifton, NJ 07013-2449
Phone
(201) 923-1078
NPI assigned
Mar 31, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA62723 NJ Primary

Addresses

Primary practice location

1117 Route 46
Suite 303
Clifton, NJ 07013-2449

Mailing address

PO Box 706
Oradell, NJ 07649-0706
Phone (201) 923-1078

Other identifiers 1

IdentifierTypeStateIssuer
6850600MedicaidNJ

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
I20040426000249 NJ Practitioner - Anesthesiology 9335135151 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Pain Consultants, LLCGroup PAC ID 6204906985, 2 clinicians

Practice addresses (Care Compare)

256 Stuyvesant Ave
Lyndhurst, NJ 07071-1833
Phone (201) 729-0001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA62723NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Anesthesia Associates LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Dec 8, 2021 Accepting new patients
Metropolitan Pain Consultants, LLC CurrentSince Jul 30, 2012 Accepting new patients
Canj Anesthesia LLC Anesthesiology CurrentSince Dec 8, 2021 Accepting new patients
Bergen Ambulatory Anesthesia Anesthesiology Past Accepting new patients

Locations

1 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-7333

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

256 Stuyvesant Ave
Lyndhurst, NJ 07071
Phone (201) 729-0001

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1982665683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076490706",
            "telephone_number": "201-923-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46",
            "address_2": "SUITE 303",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132449",
            "telephone_number": "201-923-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOPIAN",
        "first_name": "VAHE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA62723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6850600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.