Individual provider Active NPI

Tayyaba Tamara Hasan, DPM

  • Podiatrist
  • Neptune, NJ
National Provider Identifier
1407302565
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD0034770 Issued in NJ
Practice address
1945 State Route 33
Neptune, NJ 07754
Phone
(732) 776-4483
Fax
(732) 776-4798
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD0034770 NJ Primary

Addresses

Primary practice location

1945 State Route 33
Neptune, NJ 07754

Mailing address

1945 State Route 33
Neptune, NJ 07754
Phone (732) 776-4483

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190621000010 NJ Practitioner - Podiatry 2365776531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
University of California, San Diego School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear Foot and Ankle LLCGroup PAC ID 6507262177, 2 clinicians

Practice addresses (Care Compare)

301 Bingham Ave
FL 2
Ocean, NJ 07712-4762
Phone (732) 847-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.2 of 100Reported as group
Quality
42.95
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue343
Removal of skin lesions1-10
Removal of nail tissue132
Removal or shaving of skin growth21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD0034770NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Foot and Ankle LLC Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

257 Monmouth Rd
Ste 5
Oakhurst, NJ 07755
Phone (732) 517-1090

301 Bingham Ave
Fl 2
Ocean, NJ 07712
Phone (732) 508-9390

301 Bingham Ave
Ocean, NJ 07712
Phone (732) 775-9075

Interoperability endpoints

  • Direct secure messaging: thasan@bfaal-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 3

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1407302565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07754",
            "telephone_number": "732-776-4483",
            "fax_number": "732-776-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07754",
            "telephone_number": "732-776-4483",
            "fax_number": "732-776-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "TAYYABA",
        "middle_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0034770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.