Individual provider Active NPI

Umair Hassan

  • Dentist
  • Wantagh, NY
National Provider Identifier
1285191403
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
061382 Issued in NY
Practice address
3299 Cherrywood Dr
Wantagh, NY 11793-1827
Phone
(516) 785-5239
NPI assigned
Feb 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 061382 NY Primary

Addresses

Primary practice location

3299 Cherrywood Dr
Wantagh, NY 11793-1827

Mailing address

318 Dix Hills Rd
Dix Hills, NY 11746-7825
Phone (631) 943-0582

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190816000353 NY Order and Referring Only - DentistPractitioner - Dentist 0941537799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
061382NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Umair Hassan DDS PLLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1285191403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 DIX HILLS RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467825",
            "telephone_number": "631-943-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 CHERRYWOOD DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931827",
            "telephone_number": "516-785-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "UMAIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-24",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.