Individual provider Active NPI

Emese Hajdar

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1194693739
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3380 Issued in NV
Practice address
2480 Professional CT # 110
Las Vegas, NV 89128-0835
Phone
(702) 868-9100
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3380 NV Primary

Addresses

Primary practice location

2480 Professional CT # 110
Las Vegas, NV 89128-0835

Mailing address

2603 S Durango Dr Apt 202
Las Vegas, NV 89117-2615
Phone (702) 325-8235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 22, 2026 through May 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA3380NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maribel E Monroe MD LTD CurrentSince Nov 8, 2025 Accepting new patients

Locations

2480 Professional Ct
#110
Las Vegas, NV 89128
Phone (702) 868-9100

Organizations & group practices 1

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1194693739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S DURANGO DR APT 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172615",
            "telephone_number": "702-325-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 PROFESSIONAL CT # 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280835",
            "telephone_number": "702-868-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJDAR",
        "first_name": "EMESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.