Organization Active NPI

M. Hasbani, M.D. and M.J. Hasbani, M.D., PH.D., LLC

  • Neurology Physician
  • New Haven, CT
National Provider Identifier
1467603654
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
M. HASBANI, M.D. AND M.J. HASBANI, M.D., PH.D., LLC
Practice address
136 Sherman Ave
Suite 505
New Haven, CT 06511-5238
Phone
(203) 562-8071
Fax
(203) 562-1317
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Moshe Hasbani, M.D.NPI 1225022973
Title
Partner
Phone
(203) 562-8071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X CT Primary

Addresses

Primary practice location

136 Sherman Ave
Suite 505
New Haven, CT 06511-5238

Mailing address

136 Sherman Ave
Suite 505
New Haven, CT 06511-5238
Phone (203) 562-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081117000541 CT Part B Supplier - Clinic/Group Practice 5193885416 Receives reassigned benefits from 2 practitioners
Practice locations: Branford, CT; New Haven, CT

National Provider Directory

National Provider Directory

Locations

136 Sherman Ave
Ste 505
New Haven, CT 06511
Phone (203) 562-8071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1467603654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 505",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-562-8071",
            "fax_number": "203-562-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 505",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-562-8071",
            "fax_number": "203-562-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. HASBANI, M.D. AND M.J. HASBANI, M.D., PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "HASBANI",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-562-8071",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.