Individual provider Active NPI

Alexes Hazen, M.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1003820366
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
211575 Issued in NY
Practice address
535 5TH Ave FL 29
New York, NY 10017-3671
Phone
(917) 301-6563
Fax
(347) 407-8652
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 211575 NY Primary

Addresses

Primary practice location

535 5TH Ave FL 29
New York, NY 10017-3671

Mailing address

535 5TH Ave FL 29
New York, NY 10017-3671
Phone (917) 301-6563

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
I20040527001189 NY Practitioner - Plastic and Reconstructive Surgery 3779564463 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 E 66TH St
New York, NY 10065-6504
Phone (917) 301-6563

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211575NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexes Hazen MD PLLC Plastic Surgery CurrentSince Mar 1, 2020 Accepting new patients

Locations

110 E 66th St
New York, NY 10065
Phone (212) 472-3300

Interoperability endpoints

  • Direct secure messaging: ahazen21945@nyumc.direct-ci.com
  • Direct secure messaging: ahazen676583@nychhc.direct-ci.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1003820366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 5TH AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173671",
            "telephone_number": "917-301-6563",
            "fax_number": "347-407-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173671",
            "telephone_number": "917-301-6563",
            "fax_number": "347-407-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "ALEXES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "211575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.