Individual provider Active NPI

Sana Hassan Waqar, DO

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1457974172
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
322433 Issued in NY
Practice address
739 Knickerbocker Ave
Brooklyn, NY 11221-5336
Phone
(718) 456-1900
NPI assigned
May 28, 2020
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404002008 NY Practitioner - Family Practice 4284072604 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322433NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knickerbocker Medical Care P.C. CurrentSince Feb 21, 2024 Accepting new patients
Carefreewalk LLC PastSince Jul 1, 2023 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.

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

Verify at the official NPI Registry.