Individual provider Active NPI

Ezra Hazan

  • MOHS-Micrographic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1649666975
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
301085 Issued in NY
Practice address
7901 4TH Ave
Brooklyn, NY 11209-3972
Phone
(718) 491-5800
NPI assigned
Apr 14, 2015
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 301085 NY Primary

Addresses

Primary practice location

7901 4TH Ave
Brooklyn, NY 11209-3972

Mailing address

715 Avenue I
Brooklyn, NY 11230-2711
Phone (917) 699-6745

Other practice location 1

1324 Victory Blvd Ste 2
Staten Island, NY 10301-3917
Phone (718) 448-4488

Other practice location 2

8 Forrestal Rd S
Princeton, NJ 08540-6658
Phone (609) 799-6222

Other practice location 3

833 Chestnut St
Suite 740
Philadelphia, PA 19107-4414
Phone (215) 955-4947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200506003378 NJ Practitioner - Dermatology 3971882002 Reassigns benefits to 3 organizations
I20200625000202 NY Practitioner - Dermatology 3971882002 Reassigns benefits to 5 organizations
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians
Sephardic Medical PCGroup PAC ID 7618363656, 3 clinicians
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians
Ronald R Brancaccio MD and Peter Saitta DO PCGroup PAC ID 0648351338, 23 clinicians
Dermatology and Skin Surgery Center of Princeton LLCGroup PAC ID 4981849825, 3 clinicians

Practice addresses (Care Compare)

1 W Ridgewood Ave
Suite 305
Paramus, NJ 07652-2361
Phone (201) 445-8786

1075 Central Ave
Clark, NJ 07066-1116
Phone (732) 574-1399

2448 Coney Island Ave
Brooklyn, NY 11223-5022
Phone (347) 470-9217

315 E Northfield Rd
Suite 2a
Livingston, NJ 07039-4800
Phone (973) 878-0850

7901 4TH Ave
Suite A20
Brooklyn, NY 11209-3957
Phone (718) 491-5800

8 Forrestal Rd S
Suite 202
Princeton, NJ 08540-6658
Phone (609) 799-6222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as group
Quality
87.04
Promoting interoperability
77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision133
Removal of tissue11
Removal of skin lesions74
Removal of skin cancer1203
Removal or shaving of skin growth1-10
Skin biopsy57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saitta Dermatology PC CurrentSince May 1, 2020 Accepting new patients
Schweiger Dermatology, PC Mohs-Micrographic Surgery CurrentSince Dec 11, 2023 Accepting new patients
Ronald R Brancaccio MD & Peter Saitta DO PC Mohs-Micrographic Surgery CurrentSince Jan 3, 2024 Accepting new patients
Dermatology & Skin Surgery Center of Princeton LLC Mohs-Micrographic Surgery CurrentSince Jul 1, 2020 Accepting new patients
Associates in Dermatology and Cosmetic Surgery the Millburn Laser Cent CurrentSince Jul 8, 2021 Accepting new patients
21St Century Dermatology,LLC CurrentSince Nov 20, 2020 Accepting new patients
City Central Dermatology PLLC CurrentSince Aug 21, 2020 Accepting new patients
Clark Dermatology LLC Mohs-Micrographic Surgery CurrentSince Dec 19, 2024 Accepting new patients
Richard S. Berry MDPC Mohs-Micrographic Surgery CurrentSince Aug 14, 2020 Accepting new patients
Sephardic Medical PC CurrentSince Sep 3, 2025 Accepting new patients
Clark Dermatology, LLC Mohs-Micrographic Surgery PastSince May 11, 2025 Accepting new patients

Locations

1425 Pompton Ave
Ste 1-1
Cedar Grove, NJ 07009
Phone (973) 785-8686

1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399

469 Morris Ave
Ste 2
Elizabeth, NJ 07208
Phone (908) 351-6060

469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399

140 Sylvan Ave
Ste 302
Englewood Cliffs, NJ 07632
Phone (201) 568-8400

703 Kearny Ave
Kearny, NJ 07032
Phone (201) 332-4500

315 E Northfield Rd
Ste 2A
Livingston, NJ 07039
Phone (973) 535-3200

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

12 E Willow St
Millburn, NJ 07041
Phone (973) 376-8500

55 Newton Sparta Rd
Ste 105
Newton, NJ 07860
Phone (973) 300-0555

1 W Ridgewood Ave
Ste 305
Paramus, NJ 07652
Phone (201) 445-8558

8 Forrestal Rd S
Ste 202
Princeton, NJ 08540
Phone (609) 683-0101

1805 Route 206
Southampton, NJ 08088
Phone (609) 388-6098

3071 E Chestnut Ave
Ste D12
Vineland, NJ 08361
Phone (800) 529-9395

1620 Voorhies Ave
#A
Brooklyn, NY 11235
Phone (718) 996-3000

2448 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 470-9217

76 7th Ave
Brooklyn, NY 11217
Phone (718) 238-0500

7901 4th Ave
Ste A20
Brooklyn, NY 11209
Phone (718) 491-6900

10401 Roosevelt Ave
Flushing, NY 11368
Phone (718) 205-4065

4037 74th St
Flushing, NY 11373
Phone (347) 642-9802

10933 71st Rd
Ste 1F
Forest Hills, NY 11375
Phone (718) 575-2930

69 E 76th St
New York, NY 10021
Phone (212) 288-7231

Networks

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

Interoperability endpoints

  • Direct secure messaging: ehazan3619212@nychhc.direct-ci.com

Organizations & group practices 11

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

Hospital & facility affiliations 1

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1649666975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 AVENUE I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302711",
            "telephone_number": "917-699-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093972",
            "telephone_number": "718-491-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Victory Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013917",
            "country_code": "US",
            "telephone_number": "718-448-4488",
            "fax_number": "718-442-4874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Forrestal Rd S",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085406658",
            "country_code": "US",
            "telephone_number": "609-799-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Chestnut St",
            "address_2": "Suite 740",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074414",
            "country_code": "US",
            "telephone_number": "215-955-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZAN",
        "first_name": "EZRA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "301085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.