Active NPI
Hassanein Clinic Inc
- Primary Care Clinic/Center
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME68679
- Legal business name
- HASSANEIN CLINIC INC
- Practice address
- 437 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731 - Phone
- (772) 323-2461
- Fax
- (772) 323-2462
- NPI assigned
- Apr 2, 2007
- Last updated
- Sep 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hossam M. Hassanein, M.D.
- Title
- President
- Phone
- (772) 323-2461
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME68679 | FL | Primary |
Addresses
Primary practice location
437 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Mailing address
437 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Phone (772) 323-2461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Hassanein Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Stuart, FL
- NPI 1790773968
Locations
437 NW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 323-2461
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Port St Lucie, FL
- NPI 1669468864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1740301456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 NW PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838731",
"telephone_number": "772-323-2461",
"fax_number": "772-323-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 NW PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349838731",
"telephone_number": "772-323-2461",
"fax_number": "772-323-2462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASSANEIN CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "HASSANEIN",
"authorized_official_first_name": "HOSSAM",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-323-2461",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME68679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.