Active NPI
Izhar Hasan, MD
- Family Medicine Physician
- Lyndhurst, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA07991800
- Practice address
- 155 Park Ave Ste 206
Lyndhurst, NJ 07071-1462 - Phone
- (201) 939-1007
- NPI assigned
- Sep 7, 2006
- Last updated
- Oct 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Irish Medical | Family Medicine | Current | Accepting new patients |
| Emergency Physician Associates of South Jersey P C | Current | Accepting new patients | |
| Hackensack Meridian Urgent Care, PC | Current | Accepting new patients | |
| Browne Medical, LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Freehold, NJ
- NPI 1285165209
-
- Urgent Care Clinic/Center
- South Plainfield, NJ
- NPI 1851733349
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Bound Brook, NJ
- NPI 1144575739
Family Medicine
-
- Internal Medicine Physician
- Monroe TWP, NJ
- NPI 1326234527
-
dba Hunterdon Center for Healthy Aging
- Geriatric Medicine (Internal Medicine) Physician
- Flemington, NJ
- NPI 1710049499
-
- Nurse Practitioner
- Secaucus, NJ
- NPI 1053867598
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
dba NOMS Premium Imaging Center
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba White Plains Hospital Center
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.