Active NPI
Kais Hyasat, MD
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1336828631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- P121493
- Practice address
- 161 Fort Washington Ave
6TH Floor
New York, NY 10032 - Phone
- (212) 305-2708
- NPI assigned
- Jul 13, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | P121493 | NY | Primary |
Addresses
Primary practice location
161 Fort Washington Ave
6TH Floor
New York, NY 10032
Mailing address
1 Headland Road
North Curl Curl
Sydney, NEW SOUTH WALES 02099
AU
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P121493 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1336828631",
"addresses": [
{
"country_code": "AU",
"country_name": "Australia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1 HEADLAND ROAD",
"address_2": "NORTH CURL CURL",
"city": "SYDNEY",
"state": "NEW SOUTH WALES",
"postal_code": "02099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "212-305-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYASAT",
"first_name": "KAIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-13",
"last_updated": "2024-02-12",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "P121493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.