Individual provider Active NPI

Paul B Haser, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1164487724
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA06224800 Issued in NJ
Practice address
One Brookdale Plaza
Division of Vascular Surgery (CHC 214)
Brooklyn, NY 11212
Phone
(718) 240-5751
Fax
(718) 240-6631
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA06224800 NJ Primary

Addresses

Primary practice location

One Brookdale Plaza
Division of Vascular Surgery (CHC 214)
Brooklyn, NY 11212

Mailing address

One Brookdale Plaza
Division of Vascular Surgery (CHC 214)
Brooklyn, NY 11212
Phone (718) 240-5751

Other practice location 1

9413 Flatlands Ave Ste 204E
Brooklyn, NY 11236-3713
Phone (718) 209-1400

Other practice location 2

125 Paterson St
Ste 4100
New Brunswick, NJ 08901-1962
Phone (732) 235-8770

Other identifiers 2

IdentifierTypeStateIssuer
8033501MedicaidNJ
P00461697OtherNJRR MCR PTAN

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
I20150624001461 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 5597700633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Northwestern University Feinberg Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06224800NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Jul 28, 2019 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jul 16, 2023 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Jul 16, 2023 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Jul 16, 2023 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 28, 2019 Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
General Vascular Surgical Associates PA Vascular Surgery Past Accepting new patients
Skylands Vascular Specialists Vascular Surgery PastSince Apr 8, 2017 Accepting new patients

Locations

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1 Brookdale Plz
#328
Brooklyn, NY 11212

101 Pennsylvania Ave
Fl 7
Brooklyn, NY 11207
Phone (347) 789-9297

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

9413 Flatlands Ave
Ste 203E
Brooklyn, NY 11236
Phone (718) 257-4800

528 Prospect Pl
Brooklyn, NY 11238
Phone (718) 613-6800

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

9413 Flatlands Ave
Ste 204E
Brooklyn, NY 11236
Phone (718) 209-1400

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1 Brookdale Plz
#214
Brooklyn, NY 11212
Phone (718) 240-5751

4045 78th St
Fl 1
Elmhurst, NY 11373
Phone (718) 209-1400

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBHACD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1164487724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROOKDALE PLAZA",
            "address_2": "DIVISION OF VASCULAR SURGERY (CHC 214)",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5751",
            "fax_number": "718-240-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROOKDALE PLAZA",
            "address_2": "DIVISION OF VASCULAR SURGERY (CHC 214)",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5751",
            "fax_number": "718-240-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9413 Flatlands Ave Ste 204E",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112363713",
            "country_code": "US",
            "telephone_number": "718-209-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Paterson St",
            "address_2": "Ste 4100",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011962",
            "country_code": "US",
            "telephone_number": "732-235-8770",
            "fax_number": "732-235-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASER",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA06224800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8033501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "P00461697",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.