Organization Active NPI

Hadi M. Jabbar, MD

  • Medical Specialty Clinic/Center
  • Flushing, NY
National Provider Identifier
1720299464
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
145455 Issued in NY
Legal business name
HADI M. JABBAR, MD
Practice address
5634 Main St
Flushing, NY 11355-5046
Phone
(718) 939-7743
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Dr. Hadi M Jabbar, M.D.,
Title
Owner
Phone
(718) 939-7743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 145455 NY Primary

Addresses

Primary practice location

5634 Main St
Flushing, NY 11355-5046

Mailing address

5634 Main St
Flushing, NY 11355-5046
Phone (718) 939-7743

Other identifiers 1

IdentifierTypeStateIssuer
00765513MedicaidNY

National Provider Directory

National Provider Directory

Locations

5634 Main St
Flushing, NY 11355
Phone (718) 670-1813

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1720299464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555046",
            "telephone_number": "718-939-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5634 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555046",
            "telephone_number": "718-939-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADI M. JABBAR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "JABBAR",
        "authorized_official_first_name": "HADI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-939-7743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "145455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.