Organization Active NPI

CMM Hasan, Physician

  • Cardiovascular Disease Physician
  • Jamaica, NY
National Provider Identifier
1083800528
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
193570 Issued in NY
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

Updated by the provider on Sep 19, 2007

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01878124MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.