Active NPI
S M Hasnayen Medical Office PLLC
- Internal Medicine Physician
- Jamaica, NY
National Provider Identifier
1356863088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 258041
- Legal business name
- S M HASNAYEN MEDICAL OFFICE PLLC
- Practice address
- 8712 175TH St # 2a
Jamaica, NY 11432-5776 - Phone
- (718) 395-6914
- Fax
- (718) 395-1737
- NPI assigned
- Jul 14, 2017
- Last updated
- Jul 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Diana Lopez
- Title
- Crdentials Coordinator
- Phone
- (646) 283-2741
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 258041 | NY | Primary |
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | NU |
Addresses
Primary practice location
8712 175TH St # 2a
Jamaica, NY 11432-5776
Mailing address
138 Robby LN
New Hyde Park, NY 11040-1107
Phone (718) 395-6914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03441412 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1942515242
-
- Pediatrics Physician
- Jamaica, NY
- NPI 1134376049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499990400000",
"number": "1356863088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 ROBBY LN",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401107",
"telephone_number": "718-395-6914",
"fax_number": "718-395-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8712 175TH ST # 2A",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325776",
"telephone_number": "718-395-6914",
"fax_number": "718-395-1737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S M HASNAYEN MEDICAL OFFICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "CRDENTIALS COORDINATOR",
"authorized_official_telephone_number": "646-283-2741",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "258041",
"primary": true
},
{
"code": "207LH0002X",
"taxonomy_group": "",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03441412",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.