Individual provider Active NPI

Moshe Hasbani, MD

  • Clinical Neurophysiology Physician
  • New Haven, CT
National Provider Identifier
1225022973
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
018355 Issued in CT
Practice address
136 Sherman Ave
Suite 505
New Haven, CT 06511-5238
Phone
(203) 562-8071
Fax
(203) 562-1317
NPI assigned
Sep 8, 2005
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 018355 CT Primary

Addresses

Primary practice location

136 Sherman Ave
Suite 505
New Haven, CT 06511-5238

Mailing address

136 Sherman Ave
Suite 505
New Haven, CT 06511-5238
Phone (203) 562-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090106000032 CT Practitioner - Neurology 0446261838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M. Hasbani, M.D. and M.J. Hasbani, M.D., PH.D., LLCGroup PAC ID 5193885416, 2 clinicians

Practice addresses (Care Compare)

136 Sherman Ave
New Haven, CT 06511-5210
Phone (203) 562-8071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018355CTMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Hasbani, M.D. and M.J. Hasbani, M.D., PH.D., LLC CurrentSince Jan 1, 2009 Accepting new patients

Locations

136 Sherman Ave
Ste 505
New Haven, CT 06511
Phone (203) 562-8071

Interoperability endpoints

  • Direct secure messaging: moshe.hasbani@82003166691332.direct.elationemr.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1225022973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 505",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-562-8071",
            "fax_number": "203-562-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 505",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-562-8071",
            "fax_number": "203-562-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASBANI",
        "first_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CT",
            "license": "018355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.