DR. TROY EZRA CALLAHAN (MD) – Plastic Surgery Physician, NPI 1962444976

DR. TROY EZRA CALLAHAN (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in HAND SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 206666-1 (NY). The NPI Number for DR. TROY EZRA CALLAHAN (MD) is 1962444976

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. TROY EZRA CALLAHAN (MD)
NPI
1962444976
Phone
(201) 225-1811
Address
140 PROSPECT AVE
Enumeration Date
12 June 2006
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
2012251811
Graduation Year
1995 (31 years ago)
PAC ID
0345278552
Group Practice PAC ID
0749289981
Professional Enrollment ID
I20061215000361
Address ID
NJ076314960EN25XXXPLXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

131 HAND SURGERY in NJ

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Provider Addresses for DR. TROY EZRA CALLAHAN (MD)

  • 140, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    SUITE 17

    HACKENSACK, NJ 076012255

    Phone: (201) 225-1811

    Fax: (201) 616-7789

    Type: Mailing

  • 25 ROCKWOOD PL STE 405

    ENGLEWOOD, NJ 076314960

    Phone: (201) 225-1811

    Fax: (201) 616-7789

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $3,923.

Total Amount is formed as General ($3,923) + Research ($0) + Ownership ($0) = $3,923.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: RTI SURGICAL, INC ($3,600).

Total Amount

$3,923

General + Research + Ownership

Payments

5

Total payment records

General Amount

$3,923

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

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: 2006-12-15

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
I20061215000361IPlastic 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
99203New patient office or other outpatient visit, 30-44 minutes1615$0
99212Established patient office or other outpatient visit, 10-19 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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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: 0749289981View full group profile
NameSpecialtyState
General Surgery, Plastic And Reconstructive SurgeryPA

Reviews

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Frequently asked questions

What is the registry number for DR. TROY EZRA CALLAHAN (MD)?
The registry entry for DR. TROY EZRA CALLAHAN (MD) shows NPI 1962444976.
Should I treat DR. TROY EZRA CALLAHAN (MD) as an active provider?
Patients and plans typically see DR. TROY EZRA CALLAHAN (MD) as active in the national extract.
What services align with DR. TROY EZRA CALLAHAN (MD)'s listing?
DR. TROY EZRA CALLAHAN (MD)'s public classification highlights Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. TROY EZRA CALLAHAN (MD)?
The directory associates DR. TROY EZRA CALLAHAN (MD) with Hackensack, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. TROY EZRA CALLAHAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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