Organization Active NPI

S M Hasnayen Medical Office PLLC

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1356863088
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258041 Issued in NY
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03441412MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171205000138 NY Part B Supplier - Clinic/Group Practice 1557628278 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.