Mary Trez Hasaballa, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04070000 Issued in NJ

Practice address

573 Broadway
Bayonne, NJ 07002-3830

Phone

(973) 453-4071

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1093304560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023830",
            "telephone_number": "973-453-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "973 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024041",
            "country_code": "US",
            "telephone_number": "973-453-4071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASABALLA",
        "first_name": "MARY TREZ",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04070000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashkan Hamzelou, D.O.
• Mamdouh S Hanna, M.D.
• Maria Hanna
• Sherry Hanna
• Nadeem Ul Haque, MD
• Zaher Mohammad Said Hashemi, M.D.
• Momna R Hassan, PA-C
• Shagufta Hassan, LMFT
• Sara Khaled Hassanien, PHARMD
• Jasmine R. Hayes, LAC

• Pharmacist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.