Active NPI
Nida Hasan, DO
- Gynecologic Oncology Physician
- Camden, NJ
National Provider Identifier
1215516554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 25MB12769200
- Practice address
- 2 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (855) 632-2667
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 25MB12769200 | NJ | Primary |
Addresses
Primary practice location
2 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
2 Cooper PLZ
Camden, NJ 08103-1461
Other practice location 1
1 Cooper Plz
Camden, NJ 08103-1461
Phone (856) 342-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210603001795 | IN | Order and Referring Only - Obstetrics/Gynecology | 8022417500 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB12769200 | NJ | MD | Gynecologic Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1215516554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "855-632-2667"
}
],
"practiceLocations": [
{
"address_1": "1 Cooper Plz",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031461",
"country_code": "US",
"telephone_number": "856-342-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASAN",
"first_name": "NIDA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NJ",
"license": "25MB12769200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.