NPIMap

Individual provider Active NPI

Peter Hashim

  • MOHS-Micrographic Surgery Physician
  • Branford, CT
National Provider Identifier
1326466517
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
85759 Issued in CT
Practice address
6 Business Park Dr Ste 204
Branford, CT 06405-2988
Phone
(203) 208-4082
NPI assigned
Apr 3, 2014
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X 85759 CT Primary
Dermatology Physician 207N00000X 280687 NY

Addresses

Primary practice location

6 Business Park Dr Ste 204
Branford, CT 06405-2988

Mailing address

6 Shaws CV Ste 204
New London, CT 06320-4969
Phone (860) 440-3744

Other practice location 1

1952 Whitney Ave Ste 2
Hamden, CT 06517-1209
Phone (203) 288-1142

Other practice location 2

6 Shaws Cv Ste 204
New London, CT 06320-4969
Phone (860) 440-3744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200220000478 NY Practitioner - Dermatology 0941554794 Reassigns benefits to 2 organizations
I20240131004873 NJ Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 0941554794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bobby Buka, M.D., P.C.Group PAC ID 0547351140, 140 clinicians
Trokhan Dermatology, LLCGroup PAC ID 9739192568, 3 clinicians

Practice addresses (Care Compare)

220 Front St
New York, NY 10038-2033
Phone (212) 385-3700

235 Closter Dock Rd
Closter, NJ 07624-1907

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision46
Removal of skin lesions157
Removal of skin cancer385
Removal of nail tissue1-10
Removal or shaving of skin growth13
Skin biopsy43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280687NYMDDermatology Physician
85759CTMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trokhan Dermatology, LLC Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Derm Specs of PA PLLC Single Specialty CurrentSince Feb 25, 2024 Accepting new patients
Children's Skin and Laser, PC Single Specialty PastSince Jul 1, 2005 Accepting new patients
Atlas Infectious Disease Practice PLLC Single Specialty Past Accepting new patients
Connecticut Skinhealth LLP Single Specialty PastSince Mar 1, 2018 Accepting new patients
Out East Medical Single Specialty PastSince Jun 15, 2021 Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

235 Closter Dock Rd
Closter, NJ 07624
Phone (201) 666-0013

1027 46th Ave
Fl 1
Long Island City, NY 11101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1326466517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHAWS CV STE 204",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204969",
            "telephone_number": "860-440-3744",
            "fax_number": "860-440-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR STE 204",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-208-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 Whitney Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065171209",
            "country_code": "US",
            "telephone_number": "203-288-1142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Shaws Cv Ste 204",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204969",
            "country_code": "US",
            "telephone_number": "860-440-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASHIM",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "85759",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "280687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.