Individual provider Active NPI

Hal J. Kazdin, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1174686232
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
145170 Issued in NY
Practice address
3052 Brighton 1St St
Brooklyn, NY 11235-8088
Phone
(718) 332-7770
Fax
(718) 332-8933
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 145170 NY
Internal Medicine Physician 207R00000X 145170 NY Primary

Addresses

Primary practice location

3052 Brighton 1St St
Brooklyn, NY 11235-8088

Mailing address

211 Albon Rd
Hewlett, NY 11557-2613
Phone (718) 332-7770

Other identifiers 1

IdentifierTypeStateIssuer
00781333MedicaidNY

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1174686232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ALBON RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572613",
            "telephone_number": "718-332-7770",
            "fax_number": "718-332-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 BRIGHTON 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358088",
            "telephone_number": "718-332-7770",
            "fax_number": "718-332-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZDIN",
        "first_name": "HAL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "145170",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "145170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00781333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.