Fatimah Sufian Hassan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00693500 Issued in NJ

Practice address

1192 White Horse Rd
Voorhees, NJ 08043-2104

Phone

(856) 428-0100

Fax

(856) 428-6788

NPI assigned

Nov 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Del Negro & Senft Eye Associates, P.C.

  • Optometrist
  • Neptune, NJ
  • NPI 1013496348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1366086175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 WHITE HORSE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432104",
            "telephone_number": "856-428-0100",
            "fax_number": "856-428-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 WHITE HORSE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432104",
            "telephone_number": "856-428-0100",
            "fax_number": "856-428-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "FATIMAH",
        "middle_name": "SUFIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00693500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna N Harris, LSW
• Zachary Nolan Harris, AUD
• Gabriela Harrison, MS, RDN
• Michael David Hartle, P.T.A.
• Mohammad Arquam Hashmi
• Alexis Hatfield, APN
• Robert Hawk, CRNA
• Crystal Hawkins
• Clarissa Hayes, DO
• Stephanie Hays

• Optometrist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.