Active NPI
William M Hasbun, MD
- Geriatric Medicine (Internal Medicine) Physician
- Ave Maria, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME154619
- Practice address
- 5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668 - Phone
- (239) 867-4395
- Fax
- (239) 217-3662
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MA05605800 | NJ | |
| Internal Medicine Physician | 207R00000X | MA05605800 | NJ | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME154619 | FL | Primary |
Addresses
Primary practice location
5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668
Mailing address
2055 Grove Dr
Naples, FL 34120-7575
Phone (856) 577-6627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5209307 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05605800 | NJ | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowansom New Jersey Institute for Successful Aging | Geriatric Medicine | Current | Accepting new patients |
| Senacare, LLC | Internal Medicine | Current | Accepting new patients |
| Senacare, LLC | Internal Medicine | Current | Accepting new patients |
| South Health LLC | Current | Accepting new patients | |
| Integrative Care Services Florida LLC | Current | Accepting new patients | |
| Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
5068 Annunciation Cir
Unit 111
Ave Maria, FL 34142
Phone (239) 304-0054
17724 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (727) 798-5450
1981 Old Cuthbert Rd
Cherry Hill, NJ 08034
Phone (856) 428-0685
507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576
42 E Laurel Rd
Ste 1800
Stratford, NJ 08084
Phone (609) 566-6843
42 E Laurel Rd
Ste 3200
Stratford, NJ 08084
Phone (609) 566-6843
553 Beckett Rd
Ste 500
Swedesboro, NJ 08085
1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124
6 Commissioners Pike
Woodstown, NJ 08098
Phone (856) 823-6100
Interoperability endpoints
- william.hasbun.1@14558.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Collingswood, NJ
- NPI 1548511827
-
- Family Medicine Physician
- Lutz, FL
- NPI 1760186217
-
- Pediatric Endocrinology Physician
- Ave Maria, FL
- NPI 1235974916
-
- Internal Medicine Physician
- Mullica Hill, NJ
- NPI 1104447127
-
- Internal Medicine Physician
- Stratford, NJ
- NPI 1881666105
Geriatric Medicine
-
- Psychiatry Physician
- Stratford, NJ
- NPI 1881668846
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1023989837
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1295762466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 GROVE DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341207575",
"telephone_number": "856-577-6627",
"fax_number": "239-304-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5068 ANNUNCIATION CIR UNIT 111",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429668",
"telephone_number": "239-867-4395",
"fax_number": "239-217-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASBUN",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2023-03-20",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NJ",
"license": "MA05605800",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA05605800",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME154619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5209307",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ave Maria, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.