Individual provider Active NPI

Hadi Jarir Halazun, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1003050881
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
259671 Issued in NY
Practice address
110 E 60TH St RM 808
New York, NY 10022-1795
Phone
(917) 781-1919
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 259671 NY Primary

Addresses

Primary practice location

110 E 60TH St RM 808
New York, NY 10022-1795

Mailing address

520 E 70TH St # Starr4
New York, NY 10021-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2020 through Oct 1, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Private Medical New York, PC CurrentSince Aug 9, 2020 Accepting new patients

Locations

110 E 60th St
Rm 808
New York, NY 10022
Phone (212) 473-7888

Interoperability endpoints

  • Direct secure messaging: hadi.halazun@412963523788804.direct.elationemr.com
  • Direct secure messaging: hjh7001@direct.nyp.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1003050881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST # STARR4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221795",
            "telephone_number": "917-781-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALAZUN",
        "first_name": "HADI",
        "middle_name": "JARIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "259671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.