Individual provider Active NPI

Virender Hak, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Jericho, NY
National Provider Identifier
1558317537
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
252620 Issued in NY
Practice address
218 Birchwood Park Dr
Jericho, NY 11753-2363
Phone
(516) 934-0237
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 252620 NY Primary

Addresses

Primary practice location

218 Birchwood Park Dr
Jericho, NY 11753-2363

Mailing address

218 Birchwood Park Dr
Jericho, NY 11753-2363
Phone (516) 934-0237

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
I20090615000260 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9537219464 Reassigns benefits to 2 organizations
Practice locations: Ridgewood, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

155 Dean St
Brooklyn, NY 11217-2213
Phone (718) 694-3700

Hospital & facility affiliations

  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056
  • New Carlton Rehab and Nursing Center, LLC Nursing home, Brooklyn, NY, CCN 335131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252620NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenridge Medical Associates PC Geriatric Medicine CurrentSince Jan 10, 2011 Accepting new patients
TBHC Medical Services PC CurrentSince Jul 24, 2011 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
New Carlton Rehabilitation & Nursing Center Past Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients
Providence Care Inc Past Accepting new patients

Locations

155 Dean St
Brooklyn, NY 11217
Phone (718) 694-6700

99 Division Ave
Brooklyn, NY 11249
Phone (718) 349-8500

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

835 Herkimer St
Brooklyn, NY 11233
Phone (718) 221-2600

144 S Oxford St
Brooklyn, NY 11217
Phone (718) 638-0360

1280 DeKalb Ave
Brooklyn, NY 11221
Phone (718) 455-9000

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

Networks

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

Interoperability endpoints

  • Direct secure messaging: virenderhak@whmc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Carlton Rehabilitation & Nursing CenterBrooklyn, NY, CCN 335131 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Oct 20, 2020
Oct 20, 2020
Apr 4, 2025
Oxford Nursing Home, IncBrooklyn, NY, CCN 335163 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2016
Dec 1, 2016
Crown Heights Ctr for Nursing & RehabBrooklyn, NY, CCN 335609 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 1, 2019
Sep 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1558317537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532363",
            "telephone_number": "516-934-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532363",
            "telephone_number": "516-934-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAK",
        "first_name": "VIRENDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-11-03",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "252620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.