Individual provider Active NPI

Izhar Hasan, MD

  • Family Medicine Physician
  • Lyndhurst, NJ
National Provider Identifier
1003919572
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07991800 Issued in NJ
Practice address
155 Park Ave Ste 206
Lyndhurst, NJ 07071-1462
Phone
(201) 939-1007
NPI assigned
Sep 7, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 25MA07991800 NJ Primary

Addresses

Primary practice location

155 Park Ave Ste 206
Lyndhurst, NJ 07071-1462

Mailing address

456 Vanderveer Rd
Bridgewater, NJ 08807-2556
Phone (908) 328-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070202000170 NJ Practitioner - Family Practice 4183625973 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical Family Medicine CurrentSince Jul 2, 2017 Accepting new patients
Emergency Physician Associates of South Jersey P C CurrentSince Mar 1, 2015 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Aug 31, 2023 Accepting new patients
Browne Medical, LLC CurrentSince Apr 19, 2014 Accepting new patients
Riverside Medical Group Past Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Asha Vijayakumar MD LLC Past Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Hunterdon Medical Center Past Accepting new patients

Locations

1140 State Route 34
Aberdeen, NJ 07747
Phone (732) 583-5100

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.izharhasan@136290.advancedmd-direct.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1003919572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 VANDERVEER RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072556",
            "telephone_number": "908-328-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PARK AVE STE 206",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711462",
            "telephone_number": "201-939-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "IZHAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07991800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.