Individual provider Active NPI

Hamed H Qaisar, M.D.

  • Pulmonary Disease Physician
  • Staten Island, NY
National Provider Identifier
1639234339
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
113712-1 Issued in NY
Practice address
27 Longfellow Ave
Staten Island, NY 10301-4615
Phone
(718) 447-1589
NPI assigned
Dec 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 113712-1 NY
Pulmonary Disease Physician 207RP1001X 113712-1 NY Primary

Addresses

Primary practice location

27 Longfellow Ave
Staten Island, NY 10301-4615

Mailing address

27 Longfellow Ave
Staten Island, NY 10301-4615
Phone (718) 447-1589

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
I20240119002831 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3476600529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113712-1NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Brooklyn Medical Group PC Internal Medicine Past Accepting new patients

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": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1639234339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LONGFELLOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014615",
            "telephone_number": "718-447-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LONGFELLOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014615",
            "telephone_number": "718-447-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAISAR",
        "first_name": "HAMED",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "113712-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "113712-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.