Active NPI
Ahmed Ajjel Hazae, SPECIALIST ASSISTANT
- Specialist
- New City, NY
National Provider Identifier
1134492234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000180
- Practice address
- 301 N Main St
2 Suite
New City, NY 10956-4021 - Phone
- (845) 638-0400
- Fax
- (845) 638-1193
- NPI assigned
- Feb 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 000180 | NY | Primary |
Addresses
Primary practice location
301 N Main St
2 Suite
New City, NY 10956-4021
Mailing address
301 N Main St
2 Suite
New City, NY 10956-4021
Phone (845) 638-0400
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1134492234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"address_2": "2 SUITE",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564021",
"telephone_number": "845-638-0400",
"fax_number": "845-638-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"address_2": "2 SUITE",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564021",
"telephone_number": "845-638-0400",
"fax_number": "845-638-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZAE",
"first_name": "AHMED",
"middle_name": "AJJEL",
"credential": "SPECIALIST ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "000180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.