Active NPI
CMM Hasan, Physician
- Cardiovascular Disease Physician
- Jamaica, NY
National Provider Identifier
1083800528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 193570
- Legal business name
- CMM HASAN, PHYSICIAN
- Practice address
- 8405 169TH St
Jamaica, NY 11432-2033 - Phone
- (718) 657-8001
- Fax
- (718) 732-0783
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Peggy L Voelpel
- Title
- Credentialing
- Phone
- (321) 724-8398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 193570 | NY | Primary |
Addresses
Primary practice location
8405 169TH St
Jamaica, NY 11432-2033
Mailing address
8405 169TH St
Jamaica, NY 11432-2033
Phone (718) 657-8001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01878124 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
8405 169th St
Jamaica, NY 11432
Phone (347) 458-6366
9712 63rd Dr
Ste Ca
Rego Park, NY 11374
Phone (718) 830-3388
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Jamaica, NY
- NPI 1780661009
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1215127170
-
- Podiatrist
- Wayne, NJ
- NPI 1912262734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1083800528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 169TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322033",
"telephone_number": "718-657-8001",
"fax_number": "718-732-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 169TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322033",
"telephone_number": "718-657-8001",
"fax_number": "718-732-0783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMM HASAN, PHYSICIAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "VOELPEL",
"authorized_official_first_name": "PEGGY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "321-724-8398",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "193570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01878124",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.