Individual provider Active NPI

Aisha Hasan, M.D.

  • Cornea and External Diseases Specialist Physician
  • Paramus, NJ
National Provider Identifier
1568812873
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
304418 Issued in NY
Practice address
1 W Ridgewood Ave Ste 101
Paramus, NJ 07652-2354
Phone
(207) 857-4999
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 25MA11125000 NJ
Cornea and External Diseases Specialist Physician 207WX0120X 304418 NY Primary
Internal Medicine Physician 207R00000X MT212073 PA

Addresses

Primary practice location

1 W Ridgewood Ave Ste 101
Paramus, NJ 07652-2354

Mailing address

5265 Rockrose LN BLDG C14
Allentown, PA 18104-8242

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (484) 862-3159

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
I20231229002575 NY Practitioner - Ophthalmology 5890086508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers, Robert Woood Johnson Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians
Stella Douros MD PCGroup PAC ID 7012970866, 4 clinicians

Practice addresses (Care Compare)

Staten Island, NY 10301
Phone (718) 818-1234

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1714

7501 6TH Ave
1St FL
Brooklyn, NY 11209-3315
Phone (718) 238-2336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT212073PAMDInternal Medicine Physician
25MA11125000NJMDCornea and External Diseases Specialist Physician
304418NYMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC Internal Medicine CurrentSince Oct 28, 2024 Accepting new patients
Amboy Medical Practice PC CurrentSince Oct 28, 2024 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Dec 1, 2023 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Stella Douros MD PC CurrentSince Nov 5, 2023 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

7501 6th Ave
Fl 1
Brooklyn, NY 11209
Phone (718) 238-2336

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

7501 6th Ave
Brooklyn, NY 11209
Phone (718) 238-2336

1161 Victory Blvd
Ste B
Staten Island, NY 10301

1058 Forest Ave
Staten Island, NY 10310
Phone (718) 818-1058

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Networks

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

Interoperability endpoints

  • Direct secure messaging: aisha.hasan.1@19656.direct.athenahealth.com
  • Direct secure messaging: ahasanmd@drdouros.direct.eyemdemr.com
  • Direct secure messaging: ahasan1372489@nychhc.direct-ci.com

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 3

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1568812873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 ROCKROSE LN BLDG C14",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE STE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522354",
            "telephone_number": "207-857-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "484-862-3159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "AISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NJ",
            "license": "25MA11125000",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NY",
            "license": "304418",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT212073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.