Organization Active NPI

Alexes Hazen MD PLLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1205450996
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ALEXES HAZEN MD PLLC
Practice address
110 E 66TH St
New York, NY 10065-6504
Phone
(917) 301-6563
Fax
(347) 402-8652
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Alexes HazenNPI 1003820366
Title
Owner
Phone
(917) 301-6563

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

110 E 66TH St
New York, NY 10065-6504

Mailing address

110 E 66TH St
New York, NY 10065-6504
Phone (917) 301-6563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200706002655 NY Part B Supplier - Clinic/Group Practice 4183047442 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

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": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1205450996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656504",
            "telephone_number": "917-301-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656504",
            "telephone_number": "917-301-6563",
            "fax_number": "347-402-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXES HAZEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "ALEXES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-301-6563"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.