Organization Active NPI

Hanson Place Physician Associates, P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1174722532
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
190011 Issued in NY
Legal business name
HANSON PLACE PHYSICIAN ASSOCIATES, P.C.
Practice address
55 Greene Ave
Suite 2F
Brooklyn, NY 11238-1026
Phone
(718) 783-3690
Fax
(718) 783-5584
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Jahid AhamedNPI 1407915564
Title
MD
Phone
(718) 783-3690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 190011 NY Primary

Addresses

Primary practice location

55 Greene Ave
Suite 2F
Brooklyn, NY 11238-1026

Mailing address

55 Greene Ave
Suite 2F
Brooklyn, NY 11238-1026
Phone (718) 783-3690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001294 NY Part B Supplier - Clinic/Group Practice 4981680808 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

55 Greene Ave
Ste 2F
Brooklyn, NY 11238
Phone (718) 783-3690

1 Hanson Pl
Ste 1202
Brooklyn, NY 11243
Phone (718) 783-3690

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1174722532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE",
            "address_2": "SUITE 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381026",
            "telephone_number": "718-783-3690",
            "fax_number": "718-783-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE",
            "address_2": "SUITE 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381026",
            "telephone_number": "718-783-3690",
            "fax_number": "718-783-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON PLACE PHYSICIAN ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "AHAMED",
        "authorized_official_first_name": "JAHID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-783-3690"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "190011",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.