Individual provider Active NPI

Mudasar Hassan, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1093202285
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
319746 Issued in NY
Practice address
76 Belmont Ave
Brooklyn, NY 11212-6719
Phone
(718) 395-6444
Fax
(718) 676-9557
NPI assigned
Apr 13, 2018
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 319746 NY Primary

Addresses

Primary practice location

76 Belmont Ave
Brooklyn, NY 11212-6719

Mailing address

76 Belmont Ave
Brooklyn, NY 11212-6719
Phone (718) 395-6444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016001094 NY Practitioner - Psychiatry 0547509101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Belmont Comprehensive Medical Care PLLCGroup PAC ID 5698123115, 6 clinicians

Practice addresses (Care Compare)

76 Belmont Ave
Brooklyn, NY 11212-6719
Phone (718) 395-6444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Comprehensive Medical Care PLLC CurrentSince Oct 3, 2023 Accepting new patients
Northridge Physician PLLC Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
The Long Island Home CurrentSince Jun 9, 2025 Accepting new patients
The Long Island Home CurrentSince Jun 9, 2025 Accepting new patients
Sunrise Cardiovascular PLLC Past Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

76 Belmont Ave
Brooklyn, NY 11212
Phone (347) 754-6012

979 Fulton St
Brooklyn, NY 11238
Phone (718) 857-1200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1093202285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BELMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126719",
            "telephone_number": "718-395-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BELMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126719",
            "telephone_number": "718-395-6444",
            "fax_number": "718-676-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MUDASAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "319746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.