Individual provider Active NPI

Syed S Hassan, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1750457032
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196128 Issued in NY
Practice address
739 Knickerbocker Ave
Brooklyn, NY 11221-5336
Phone
(718) 456-1900
Fax
(718) 456-8709
NPI assigned
Nov 28, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 196128 NY Primary

Addresses

Primary practice location

739 Knickerbocker Ave
Brooklyn, NY 11221-5336

Mailing address

40 Bacon Rd
Old Westbury, NY 11568-1503
Phone (516) 626-0113

Other practice location 1

8820 169th St
Jamaica, NY 11432-4431
Phone (718) 739-1199

Other practice location 2

8601 Range St
Queens Village, NY 11427-2721
Phone (718) 464-6400

Other identifiers 1

IdentifierTypeStateIssuer
01506981MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000137 NY Practitioner - Internal Medicine 0143393041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

739 Knickerbocker Ave
Brooklyn, NY 11221-5336
Phone (718) 456-1900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knickerbocker Medical Care P.C. Internal Medicine CurrentSince Jun 22, 1994 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Carefreewalk LLC Past Accepting new patients

Locations

8820 169th St
Jamaica, NY 11432
Phone (516) 582-6100

Networks

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

Interoperability endpoints

  • Direct secure messaging: shassan305025@nychhc.direct-ci.com
  • Direct secure messaging: syedhassan@whmc.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1750457032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BACON RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681503",
            "telephone_number": "516-626-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112215336",
            "telephone_number": "718-456-1900",
            "fax_number": "718-456-8709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8820 169th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324431",
            "country_code": "US",
            "telephone_number": "718-739-1199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8601 Range St",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114272721",
            "country_code": "US",
            "telephone_number": "718-464-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SYED",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01506981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.