Active NPI
Sana Hassan Waqar, DO
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1457974172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 322433
- Practice address
- 739 Knickerbocker Ave
Brooklyn, NY 11221-5336 - Phone
- (718) 456-1900
- NPI assigned
- May 28, 2020
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 322433 | NY | Primary |
Addresses
Primary practice location
739 Knickerbocker Ave
Brooklyn, NY 11221-5336
Mailing address
40 Bacon Rd
Old Westbury, NY 11568-1503
Phone (516) 626-0113
Other practice location 1
8601 Range St
Queens Village, NY 11427-2721
Phone (718) 464-6400
Other practice location 2
8820 169th St
Jamaica, NY 11432-4431
Phone (718) 739-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322433 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knickerbocker Medical Care P.C. | Current | Accepting new patients | |
| Carefreewalk LLC | Past | Accepting new patients |
Locations
8820 169th St
Jamaica, NY 11432
Phone (516) 582-6100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1295990737
-
- Primary Podiatric Medicine Podiatrist
- Jamaica, NY
- NPI 1982481792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1457974172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BACON RD",
"city": "OLD WESTBURY",
"state": "NY",
"postal_code": "115681503",
"telephone_number": "516-626-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112215336",
"telephone_number": "718-456-1900"
}
],
"practiceLocations": [
{
"address_1": "8601 Range St",
"address_purpose": "LOCATION",
"city": "Queens Village",
"state": "NY",
"postal_code": "114272721",
"country_code": "US",
"telephone_number": "718-464-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8820 169th St",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114324431",
"country_code": "US",
"telephone_number": "718-739-1199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAQAR",
"first_name": "SANA",
"middle_name": "HASSAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "322433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.