Individual provider Active NPI

William M Hasbun, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Ave Maria, FL
National Provider Identifier
1295762466
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME154619 Issued in FL
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

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5209307MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050622000360 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1557306495 Reassigns benefits to 2 organizations
I20250106003810 FL Practitioner - Internal Medicine 1557306495 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA05605800NJMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rowansom New Jersey Institute for Successful Aging Geriatric Medicine CurrentSince Oct 15, 2019 Accepting new patients
Senacare, LLC Internal Medicine CurrentSince Jun 15, 2025 Accepting new patients
Senacare, LLC Internal Medicine CurrentSince Jun 15, 2025 Accepting new patients
South Health LLC CurrentSince Dec 30, 2024 Accepting new patients
Integrative Care Services Florida LLC CurrentSince Aug 1, 2024 Accepting new patients
Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry Current Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine PastSince Jun 15, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.