Individual provider Active NPI

Neal Hakimi, M.D.

  • Internal Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1508185471
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271730 Issued in NY
Practice address
301 E Main St
Bay Shore, NY 11706-8408
Phone
(631) 894-5750
NPI assigned
May 18, 2010
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 271730 NY Primary

Addresses

Primary practice location

301 E Main St
Bay Shore, NY 11706-8408

Mailing address

77 Cedar Dr
Great Neck, NY 11021-2804
Phone (516) 317-2590

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
I20160601001475 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7315252087 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

10 Medical PLZ
Suite 202
Glen Cove, NY 11542-2101
Phone (516) 773-7500

333 E Shore Rd
Suite 202
Manhasset, NY 11030-2900
Phone (516) 418-2099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271730NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jan 17, 2017 Accepting new patients
Maimonides Medical Center Current Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
Cerberus Medical PLLC CurrentSince Feb 24, 2024 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Jun 29, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2018 Accepting new patients
John T Mather Memorial Hospital CurrentSince Jun 29, 2024 Accepting new patients
Nassau Pulmonary & Critical Care Medicine PC CurrentSince Jun 1, 2016 Accepting new patients
South Shore University Hospital Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

10 Medical Plz
Ste 202
Glen Cove, NY 11542
Phone (516) 609-9494

891 Northern Blvd
Ste 203
Great Neck, NY 11021
Phone (516) 773-6300

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

300 Community Dr
Manhasset, NY 11030

333 E Shore Rd
Ste 202
Manhasset, NY 11030
Phone (516) 418-2099

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nealhakimi@mai.allscriptsdirect.net
  • Direct secure messaging: nhakimi65917@northwell.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1508185471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CEDAR DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212804",
            "telephone_number": "516-317-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "631-894-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMI",
        "first_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.