Soha Hafez

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P138178 Issued in NY

Practice address

11919 Graham CT
Flushing, NY 11354-1047

Phone

(845) 738-8770

NPI assigned

Sep 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Star Medical Association of NJ PCGroup PAC ID 9234597402, 10 clinicians

Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians

Ilm Medical Care PLLCGroup PAC ID 2769610989, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ilm Medical Care PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1023442035

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Silver Star Medical Association of NJ PC

  • Internal Medicine Physician
  • Upper Saddle River, NJ
  • NPI 1710677091

  Multi-Specialty, NY

  Medicare reassignment Care Compare group NPD
• Medical Services of Northeastern Queens PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184311441
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1265313670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CRESCENT AVE STE 305",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 GRAHAM CT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541047",
            "telephone_number": "845-738-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEZ",
        "first_name": "SOHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P138178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naiem Habib, DO
• Ayman Hadhoud, M.D.
• Hadi M. Jabbar, MD
• Haengbok Pharmacy Inc.
• Haengyeol Heo PT PC
• Daniel Hafisov, MS, OTR/L
• Joseph Hafisov
• Mary Haggerty
• Daniel Jacob Hagler, M.D.
• Daniella Hagler

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.