Active NPI
Nitza K Hasis, LCSW
- Social Worker
- Ozone Park, NY
National Provider Identifier
1316077357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00071182
- Practice address
- 108-19 Rockaway Blvd
Ozone Park, NY 11420 - Phone
- (718) 845-2620
- Fax
- (718) 845-9380
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00071182 | NY | Primary |
Addresses
Primary practice location
108-19 Rockaway Blvd
Ozone Park, NY 11420
Mailing address
208-22 26TH Ave
Bayside, NY 11360
Phone (718) 845-2620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00071182 | Medicaid | NY |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone (516) 569-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00071182 | NY | MD | Social Worker |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1316077357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208-22 26TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11360",
"telephone_number": "718-845-2620",
"fax_number": "718-845-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108-19 ROCKAWAY BLVD",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "11420",
"telephone_number": "718-845-2620",
"fax_number": "718-845-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASIS",
"first_name": "NITZA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "00071182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00071182",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.