Individual provider Active NPI

Syra Hanif, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1003079286
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
282778 Issued in NY
Practice address
492 6TH Ave
New York, NY 10011-8404
Phone
(646) 454-9000
Fax
(646) 454-9047
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 282778 NY Primary

Addresses

Primary practice location

492 6TH Ave
New York, NY 10011-8404

Mailing address

492 6TH Ave
New York, NY 10011-8404
Phone (646) 454-9000

Other practice location 1

123 W 20th St
New York, NY 10011-3639
Phone (646) 454-9000

Other identifiers 1

IdentifierTypeStateIssuer
05569264MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005000576 NY Practitioner - Family Practice 2668648726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manhattan Medical Arts PLLCGroup PAC ID 9638418387, 3 clinicians

Practice addresses (Care Compare)

492 6TH Ave
New York, NY 10011-8404
Phone (646) 454-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282778NYMDFamily Medicine Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Manhattan Medical Arts, PLLC CurrentSince Dec 31, 2018 Accepting new patients
Montefiore New Rochelle Hospital PastSince Dec 31, 2018 Accepting new patients

Locations

7214 Austin St
Forest Hills, NY 11375
Phone (646) 454-9000

123 W 20th St
New York, NY 10011
Phone (646) 397-5969

492 6th Ave
New York, NY 10011
Phone (646) 454-9000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHFCDD/Endpoint/JHFCDD

Organizations & group practices 2

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1003079286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118404",
            "telephone_number": "646-454-9000",
            "fax_number": "646-454-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118404",
            "telephone_number": "646-454-9000",
            "fax_number": "646-454-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W 20th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100113639",
            "country_code": "US",
            "telephone_number": "646-454-9000",
            "fax_number": "646-454-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANIF",
        "first_name": "SYRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "282778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05569264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.