Individual provider Active NPI

Shaikh Nusrat Hasan, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1225020860
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208519 Issued in NY
Practice address
482 McDonald Ave
Brooklyn, NY 11218-3812
Phone
(718) 633-4677
Fax
(718) 633-3134
NPI assigned
Aug 19, 2005
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 208519 NY Primary

Addresses

Primary practice location

482 McDonald Ave
Brooklyn, NY 11218-3812

Mailing address

14 Strawberry LN
Roslyn Heights, NY 11577-2518
Phone (917) 498-8514

Other identifiers 3

IdentifierTypeStateIssuer
5997765OtherNYGHI
01919002MedicaidNY
7013015OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051005001109 NY Practitioner - Family Practice 8729012679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

482 McDonald Ave
Brooklyn, NY 11218-3812
Phone (718) 633-4677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208519NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S. Hasan Physician PC CurrentSince Apr 1, 2005 Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients

Locations

113 Church Ave
Brooklyn, NY 11218
Phone (347) 955-7632

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hshaikh648703@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECIACA/Endpoint/ECIACA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1225020860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STRAWBERRY LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772518",
            "telephone_number": "917-498-8514",
            "fax_number": "718-633-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "718-633-4677",
            "fax_number": "718-633-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SHAIKH",
        "middle_name": "NUSRAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5997765",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01919002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7013015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.