Organization Active NPI

Nassef. F. Hassan, Physician, PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1649500604
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
206779 Issued in NY
Legal business name
NASSEF. F. HASSAN, PHYSICIAN, PC
Practice address
6810 5TH Ave
Nassef F. Hassan
Brooklyn, NY 11220
Phone
(718) 491-4002
Fax
(718) 491-4030
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Nassef Farahat Hassan, M.DNPI 1902867807
Title
M.D
Phone
(718) 491-4002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 206779 NY Primary
Pain Clinic/Center 261QP3300X 206779 NY

Addresses

Primary practice location

6810 5TH Ave
Nassef F. Hassan
Brooklyn, NY 11220

Mailing address

6810 5TH Avenue
Nassef F. Hassan
Brooklyn, NY 11220
Phone (718) 491-4002

Other identifiers 2

IdentifierTypeStateIssuer
1902867807OtherNYNPI
01854140MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100211000460 NY Part B Supplier - Clinic/Group Practice 9638212517 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

6810 5th Ave
Brooklyn, NY 11220
Phone (718) 491-4002

6810 5th Ave
#F
Brooklyn, NY 11220
Phone (718) 491-4002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1649500604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 5TH AVENUE",
            "address_2": "NASSEF F. HASSAN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-491-4002",
            "fax_number": "718-491-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 5TH AVE",
            "address_2": "NASSEF F. HASSAN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-491-4002",
            "fax_number": "718-491-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSEF. F. HASSAN, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "NASSEF",
        "authorized_official_middle_name": "FARAHAT",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "718-491-4002",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "206779",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "206779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902867807",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01854140",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.