Individual provider Active NPI

Samreen Hasan, MD, MPH

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1386960557
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
266146 Issued in NY
Practice address
110 E 60TH St, Suite 808
New York, NY 10022-1795
Phone
(212) 473-7888
Fax
(212) 931-1888
NPI assigned
Apr 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 266146 NY Primary

Addresses

Primary practice location

110 E 60TH St, Suite 808
New York, NY 10022-1795

Mailing address

110 E 60TH St, Suite 808
New York, NY 10022-1795
Phone (212) 473-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Private Medical New York, PC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

110 E 60th St
Rm 808
New York, NY 10022
Phone (212) 473-7888

Interoperability endpoints

  • Direct secure messaging: samreenhasan@mai.allscriptsdirect.net
  • Direct secure messaging: samreen.hasan@412963523788804.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1386960557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST, SUITE 808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221795",
            "telephone_number": "212-473-7888",
            "fax_number": "212-931-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST, SUITE 808",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221795",
            "telephone_number": "212-473-7888",
            "fax_number": "212-931-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SAMREEN",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2024-02-14",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.