NPIMap

Organization Active NPI

Seaview Medical Group, PC

  • Specialist
  • Staten Island, NY
National Provider Identifier
1144227695
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SEAVIEW MEDICAL GROUP, PC
Practice address
475 Seaview Ave
Staten Island, NY 10305-3436
Phone
(718) 226-9290
NPI assigned
Jun 30, 2005
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Faiz Hasham, MDNPI 1417955030
Title
Authorized Official
Phone
(718) 226-9290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Mailing address

PO Box 5807
New York, NY 10087-5807
Phone (201) 804-2800

Other identifiers 2

IdentifierTypeStateIssuer
W91041OtherNYMEDICARE
00658902MedicaidNY

National Provider Directory

National Provider Directory

Locations

8223 Bay Pkwy
Ste 2A
Brooklyn, NY 11214
Phone (718) 837-4466

11120 Queens Blvd
Ste 1
Flushing, NY 11375
Phone (718) 544-7700

500 Seaview Ave
Ste 120
Staten Island, NY 10305
Phone (718) 226-9290

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1144227695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5807",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875807",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAVIEW MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "HASHAM",
        "authorized_official_first_name": "FAIZ",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-226-9290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W91041",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00658902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.