DR. EDWARD JR. HAHN (MD) – Plastic and Reconstructive Surgery Physician, NPI 1356669162

DR. EDWARD JR. HAHN (MD) is a healthcare provider. based in Glastonbury, Connecticut. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 25MA09251900 (NJ). The NPI Number for DR. EDWARD JR. HAHN (MD) is 1356669162

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD JR. HAHN (MD)
NPI
1356669162
Phone
(201) 421-6426
Address
195 Eastern Blvd
Enumeration Date
4 May 2010
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
7323338720
Graduation Year
2010 (16 years ago)
PAC ID
7517253412
Group Practice PAC ID
8921060484
Professional Enrollment ID
I20171205000050
Address ID
NJ077024224SH535XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

106 PLASTIC AND RECONSTRUCTIVE SURGERY in CT

Provider Addresses for DR. EDWARD JR. HAHN (MD)

  • 195 Eastern Blvd

    Suite 200

    Glastonbury, CT 060331208

    Phone: (201) 421-6426

    Type: Location

  • 113 W ESSEX ST

    STE 204

    MAYWOOD, NJ 076071023

    Phone: (201) 289-5551

    Fax: (201) 843-2390

    Type: Mailing

  • 113 W ESSEX ST STE 204

    MAYWOOD, NJ 076071023

    Phone: (201) 289-5551

    Fax: (201) 843-2390

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,075.

Total Amount is formed as General ($1,075) + Research ($0) + Ownership ($0) = $1,075.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Integra LifeSciences Corporation ($1,010).

Total Amount

$1,075

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,075

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171205000050IPlastic And Reconstructive SurgeryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921060484View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryPA
-NJ
General SurgeryNJ
Plastic And Reconstructive Surgery, General Surgery, Maxillofacial Surgery, Hand SurgeryNJ
-NJ
Plastic And Reconstructive SurgeryGA
Physician AssistantNJ
General SurgeryNJ
Physician AssistantNJ
Physician AssistantNJ

Reviews

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Frequently asked questions

Does DR. EDWARD JR. HAHN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. EDWARD JR. HAHN (MD) uses 1356669162.
Does CMS list DR. EDWARD JR. HAHN (MD) as active?
Yes — DR. EDWARD JR. HAHN (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. EDWARD JR. HAHN (MD)?
For research purposes, treat DR. EDWARD JR. HAHN (MD) as Plastic and Reconstructive Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. EDWARD JR. HAHN (MD)?
DR. EDWARD JR. HAHN (MD)'s geographic hint is Glastonbury, Connecticut in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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