Individual provider Active NPI

Razan Hamed, PHD

  • Mental Health Occupational Therapist
  • New York, NY
National Provider Identifier
1053941401
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
020482 Issued in NY
Practice address
617 W 168TH St RM 312
New York, NY 10032-3925
Phone
(917) 753-1130
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 020482 NY Primary

Addresses

Primary practice location

617 W 168TH St RM 312
New York, NY 10032-3925

Mailing address

25 Julia CT
Township of Washington, NJ 07676-5108
Phone (917) 753-1130

Other practice location 1

25 Julia Ct
Township Of Washington, NJ 07676-5108
Phone (917) 753-1130

Other identifiers 1

IdentifierTypeStateIssuer
H03476448356811OtherNJDMV DRIVER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020482NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1053941401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JULIA CT",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076765108",
            "telephone_number": "917-753-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W 168TH ST RM 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323925",
            "telephone_number": "917-753-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Julia Ct",
            "address_purpose": "LOCATION",
            "city": "Township Of Washington",
            "state": "NJ",
            "postal_code": "076765108",
            "country_code": "US",
            "telephone_number": "917-753-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMED",
        "first_name": "RAZAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NY",
            "license": "020482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV DRIVER LICENSE",
            "identifier": "H03476448356811",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.