Active NPI
Mohammad Ashraf Hasan, MD
- Internal Medicine Physician
- Bellmore, NY
National Provider Identifier
1003981515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 115135
- Practice address
- 2495 Newbridge Road
Bellmore, NY 11710 - Phone
- (516) 221-3855
- Fax
- (516) 781-8248
- NPI assigned
- Nov 21, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 115135 | NY | Primary |
Addresses
Primary practice location
2495 Newbridge Road
Bellmore, NY 11710
Mailing address
2495 Newbridge Road
Bellmore, NY 11710
Phone (516) 221-3855
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48249 | Other | AETNA | |
| 4865 | Other | UNITED HEALTHCARE | |
| AP708 | Other | OXFORD | |
| 2C7852 | Other | HEALTHNET | |
| 432273N | Other | CIGNA | |
| 112394819 | Other | NY | 1199 |
| 21132 | Other | VYTRA | |
| 112394819 | Other | MAGNACARE | |
| AB47496 | Other | MDNY | |
| 112394819 | Other | EMPIRE GOVT | |
| 5383378 | Other | CIGNA | |
| 563551 | Other | EMPIRE BCBS | |
| 0085788 | Other | GHI | |
| 502545 | Other | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110111000787 | NY | Practitioner - Internal Medicine | 7719176494 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mhasan66175@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003981515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 NEWBRIDGE ROAD",
"city": "BELLMORE",
"state": "NY",
"postal_code": "11710",
"telephone_number": "516-221-3855",
"fax_number": "516-781-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 NEWBRIDGE ROAD",
"city": "BELLMORE",
"state": "NY",
"postal_code": "11710",
"telephone_number": "516-221-3855",
"fax_number": "516-781-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "MOHAMMAD",
"middle_name": "ASHRAF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "115135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "48249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4865",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP708",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C7852",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "432273N",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "112394819",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "21132",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "112394819",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AB47496",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE GOVT",
"identifier": "112394819",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5383378",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "563551",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0085788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "502545",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.