Capital District Interventional Spine & Rehabilitation, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

251596 Issued in NY

Legal business name

CAPITAL DISTRICT INTERVENTIONAL SPINE & REHABILITATION, PLLC

Practice address

63 Shaker Rd
Albany, NY 12204-1030

Phone

(518) 487-4093

Fax

(518) 487-4102

NPI assigned

Mar 17, 2011

Organization subpart

No

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

Authorized official

Name

Syed A. Hasan, M.D.NPI 1811944846

Title

M.D./Owner

Phone

(518) 487-4093

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_CDIS

Practitioners 1

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

• Syed Hasan, MD

  • Physical Medicine & Rehabilitation Physician
  • New Hartford, NY
  • NPI 1811944846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1497054498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-487-4093",
            "fax_number": "518-487-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-487-4093",
            "fax_number": "518-487-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT INTERVENTIONAL SPINE & REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "518-487-4093",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "251596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03072548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital District Ambulance Service, Inc.
• Capital District Care Group LLC
• Capital District Colon & Rectal Surgery Assoc., P.C.
• Capital District Family Chiropractic, PLLC.
• Capital District Gastroenterology & Liver Disease, PC
• Capital District Medical & Wellness PC
• Capital District Medical Transportation,Inc.
• Capital District Oral & Maxillofacial Surgeons,LLC
• Capital District Orthotic Group
• Capital District Pathology Associates PLLC

• Physical Medicine & Rehabilitation Physician in Albany, NY
• Providers in Albany, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.