Individual provider Active NPI

Eyad Michel Hijazin, M.D

  • Internal Medicine Physician
  • Larchmont, NY
National Provider Identifier
1356320410
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230232 Issued in NY
Practice address
2365 Boston Post Rd
Larchmont, NY 10538-3500
Phone
(914) 834-1777
Fax
(914) 834-0047
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230232 NY Primary
Internal Medicine Physician 207R00000X 041643 CT

Addresses

Primary practice location

2365 Boston Post Rd
Larchmont, NY 10538-3500

Mailing address

2365 Boston Post Rd
Larchmont, NY 10538-3500
Phone (914) 834-1777

Other identifiers 1

IdentifierTypeStateIssuer
02611310MedicaidNY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000386 NY Practitioner - Internal Medicine 5092701623 Reassigns benefits to 2 organizations
Practice locations: Mamaroneck, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Allied Healthcare Physician PLLCGroup PAC ID 8224079744, 16 clinicians

Practice addresses (Care Compare)

444 E Boston Post Rd
Suite 201
Mamaroneck, NY 10543-3704
Phone (914) 834-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041643CTMDLicensed Practical Nurse
230232NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Services, LLC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Allied Healthcare Physician PLLC CurrentSince Mar 31, 2005 Accepting new patients
My Doctor Medical PC Internal Medicine Current Accepting new patients
Howe Avenue Medical Services, PC Internal Medicine Past Accepting new patients
Phyllis Mandel MD PLLC Internal Medicine Past Accepting new patients

Locations

340 City Island Ave
Bronx, NY 10464
Phone (718) 885-0333

2365 Boston Post Rd
Larchmont, NY 10538
Phone (914) 740-3602

444 E Boston Post Rd
Ste 201
Mamaroneck, NY 10543
Phone (914) 381-2995

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

16 Guion Pl
Rm 10
New Rochelle, NY 10801

150 Lockwood Ave
Ste 16
New Rochelle, NY 10801
Phone (914) 235-2352

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1356320410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383500",
            "telephone_number": "914-834-1777",
            "fax_number": "914-834-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BOSTON POST RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383500",
            "telephone_number": "914-834-1777",
            "fax_number": "914-834-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIJAZIN",
        "first_name": "EYAD",
        "middle_name": "MICHEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230232",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "041643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02611310",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.