NPIMap

Individual provider Active NPI

Shaya Khabyeh-Hasbani, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1346299047
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217758 Issued in NY
Practice address
645 Crawford Ave
Brooklyn, NY 11223-5442
Phone
(718) 368-2722
Fax
(718) 368-3053
NPI assigned
May 9, 2006
Last updated
Jul 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Internal Medicine Physician 207R00000X 217758 NY Primary

Addresses

Primary practice location

645 Crawford Ave
Brooklyn, NY 11223-5442

Mailing address

645 Crawford Ave
Brooklyn, NY 11223-5442
Phone (718) 368-2722

Other identifiers 1

IdentifierTypeStateIssuer
02090908MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000953 NY Practitioner - Internal Medicine 2264412717 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (718) 692-5303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217758NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Boro Park Operating Co LLC CurrentSince Oct 1, 2015 Accepting new patients
New York Community Hospital of Brooklyn Inc Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2017 Accepting new patients
Park House Care Center LLC Past Accepting new patients
Caton Park Rehabilitation and Nursing Past Accepting new patients
Rockaway Care Center LLC Past Accepting new patients
Michael Melnicke Caton Park Nursing Home Past Accepting new patients
Park Nursing Home Past Accepting new patients
River Manor Corp. Past Accepting new patients

Locations

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Networks

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atrium Center for Rehabilitation and NursingBrooklyn, NY, CCN 335720 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Jul 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • River Manor Corp.

    dba River Manor Care Center

    • Skilled Nursing Facility
    • Brooklyn, NY
    • NPI 1861486011

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 10

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1346299047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 CRAWFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235442",
            "telephone_number": "718-368-2722",
            "fax_number": "718-368-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 CRAWFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235442",
            "telephone_number": "718-368-2722",
            "fax_number": "718-368-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHABYEH-HASBANI",
        "first_name": "SHAYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02090908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.