Individual provider Active NPI

Hassan Naqvi

  • Psychiatry Physician
  • Newburgh, NY
National Provider Identifier
1558757013
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
314381 Issued in NY
Practice address
50 Wesley CT
Newburgh, NY 12550-7037
Phone
(917) 809-5423
NPI assigned
Apr 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 063570 CT
Psychiatry Physician 2084P0800X 78509 GA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 314381 NY Primary

Addresses

Primary practice location

50 Wesley CT
Newburgh, NY 12550-7037

Mailing address

50 Wesley CT
Newburgh, NY 12550-7037
Phone (917) 809-5423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240718004549 NC Practitioner - Psychiatry 9234488560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
063570CTMDPsychiatry Physician
78509GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Animo Sano Psychiatry PLLC Psychiatry CurrentSince Jun 1, 2024 Accepting new patients

Locations

5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone (919) 319-7202

6409 Fayetteville Rd
Ste 120
Durham, NC 27713
Phone (561) 319-6188

2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 909-1230

Interoperability endpoints

  • Direct secure messaging: hnaqvi2299378@nychhc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1558757013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WESLEY CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507037",
            "telephone_number": "917-809-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WESLEY CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125507037",
            "telephone_number": "917-809-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAQVI",
        "first_name": "HASSAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-11",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "063570",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "78509",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "314381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.