Active NPI
Atara Hakakian, PA
- Physician Assistant
- Lakewood, NJ
National Provider Identifier
1174039820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00455600
- Practice address
- 151 Williamsburg LN
Lakewood, NJ 08701-1476 - Phone
- (347) 733-2493
- Fax
- (310) 428-6510
- NPI assigned
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00455600 | NJ | Primary |
Addresses
Primary practice location
151 Williamsburg LN
Lakewood, NJ 08701-1476
Mailing address
151 Williamsburg LN
Lakewood, NJ 08701-1476
Phone (347) 733-2493
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- atara.hakakian.1@26804.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1174039820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 WILLIAMSBURG LN",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011476",
"telephone_number": "347-733-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 WILLIAMSBURG LN",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011476",
"telephone_number": "347-733-2493",
"fax_number": "310-428-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKAKIAN",
"first_name": "ATARA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00455600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.