Organization Active NPI

Michael S Hahn MD PC

  • Neurological Surgery Physician
  • Kingston, NY
National Provider Identifier
1689871444
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
205656 Issued in NY
Legal business name
MICHAEL S HAHN MD PC
Practice address
40 Hurley Ave Ste 14
Kingston, NY 12401-3738
Phone
(845) 334-9933
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Kathleen Kelly
Title
Biller
Phone
(845) 334-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 205656 NY Primary

Addresses

Primary practice location

40 Hurley Ave Ste 14
Kingston, NY 12401-3738

Mailing address

PO Box 1127
Kingston, NY 12402-1127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019000044 NY Part B Supplier - Clinic/Group Practice 6800089228 Receives reassigned benefits from 1 practitioner
Practice locations: Kingston, NY

National Provider Directory

National Provider Directory

Locations

40 Hurley Ave
Ste 14
Kingston, NY 12401
Phone (845) 331-2269

138 Pine St
Ste 150
Kingston, NY 12401
Phone (845) 334-9933

138 Pine St
Kingston, NY 12401
Phone (845) 331-0114

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1689871444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124021127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HURLEY AVE STE 14",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013738",
            "telephone_number": "845-334-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S HAHN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "845-334-9933"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "205656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.