Individual provider Active NPI

Haseeba Ismaiel, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1184128217
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
315223 Issued in NY
Practice address
139 Centre St Ste 824
New York, NY 10013-4558
Phone
(732) 443-7645
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 315223 NY Primary
Psychiatry Physician 2084P0800X MD479103 PA
Psychiatry Physician 2084P0800X 25MA13021900 NJ

Addresses

Primary practice location

139 Centre St Ste 824
New York, NY 10013-4558

Mailing address

14 Exeter Way
Holmdel, NJ 07733-2295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221101002327 NY Practitioner - Psychiatry 1557738796 Reassigns benefits to 2 organizations
I20240503003003 PA Practitioner - Psychiatry 1557738796 Reassigns benefits to 2 organizations
I20260507001032 NJ Practitioner - Psychiatry 1557738796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

1618 Stelton Rd
Piscataway, NJ 08854-5917
Phone (848) 202-9800

2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone 71895188002102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA13021900NJMDPsychiatry Physician
315223NYMDPsychiatry Physician
MD479103PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Minds Psychiatry Restricted LLC CurrentSince May 7, 2025 Accepting new patients
Valera Medical, P.C. Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Behavioral Solutions Medical, PC Psychiatry CurrentSince Apr 1, 2024 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

888 Glenbrook Ave
Ste 110
Bryn Mawr, PA 19010
Phone (561) 264-4406

275 Grandview Ave
Ste 104
Camp Hill, PA 17011
Phone (717) 461-2264

112 N Flowers Mill Rd
Langhorne, PA 19047
Phone (215) 460-4554

115 Pheasant Run
Ste 112
Newtown, PA 18940
Phone (215) 515-1117

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1184128217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EXETER WAY",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 824",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134558",
            "telephone_number": "732-443-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIEL",
        "first_name": "HASEEBA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "315223",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD479103",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA13021900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.