MR. LOUIS DAC PHAM DNAP
NPI 1881406759
Nurse Anesthetist, Certified Registered in Hackensack, NJ

Active since January 27, 2025PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE STE 2703, HACKENSACK, NJ 07601(551) 996-2419 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Mar 18, 2025, Feb 27, 2025 (3 updates tracked since 2025).

About Mr. Louis Dac Pham Dnap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LOUIS DAC PHAM DNAP (NPI 1881406759) is an individual nurse anesthetist, certified registered in Hackensack, New Jersey, licensed in New Jersey (26NJ15298900) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881406759
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. LOUIS DAC PHAMCredential: DNAP
Location Address30 PROSPECT AVE STE 2703Hackensack, NJ 07601-1915
Mailing Address30 Prospect Ave, Ste 2703Hackensack, NJ 07601-1915 · (551) 996-2419
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 27, 2025
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1881406759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NJ · 26NJ15298900
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
30 PROSPECT AVE STE 2703, Hackensack, NJ 07601

Other Names 1

Former Name (1)Mr. Khue Dac Doan Pham

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Louis Dac Pham Dnap is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052834520
PECOS Enrollment IDI20250326001211, I20250327000132, I20250722004213
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Louis Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
30 PROSPECT AVENUE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 781 clinicians in this Medicare group
Anesthesiology
1 GUSTAVE L LEVY PL # 4500
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 245 clinicians in this Medicare group
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
30 PROSPECT AVE STE 2703
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE STE 2703
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE STE 2703
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE STE 2703
HACKENSACK, NJ 07601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Louis Pham's NPI number?

The NPI number for Louis Pham is 1881406759. It was assigned to this individual provider in the NPPES registry on January 27, 2025. The provider is also known as Mr. Khue Dac Doan Pham.

Where is Louis Pham located?

Louis Pham practices at 30 Prospect Ave Ste 2703, Hackensack, NJ 07601. The listed phone number is (551) 996-2419.

What is Louis Pham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Louis Pham enrolled in Medicare?

Yes. Louis Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Louis Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Pham reassigns Medicare benefits to 3 organizations: New Jersey Healthcare Specialists PC (Hackensack, NJ), Icahn School Of Medicine At Mount Sinai (New York, NY) and Mayo Clinic (Rochester, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Louis Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Louis Pham affiliated with any hospitals?

According to CMS data, Louis Pham is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Louis Pham was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.