Active NPI
Hadi Jarir Halazun, M.D.
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1003050881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 259671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Private Medical New York, PC | Current | Accepting new patients |
Locations
110 E 60th St
Rm 808
New York, NY 10022
Phone (212) 473-7888
Interoperability endpoints
- hadi.halazun@412963523788804.direct.elationemr.com
- 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1487203378
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.