Individual provider Active NPI

Hasan Aijaz Rizvi, MD

  • Hematology & Oncology Physician
  • Bay Shore, NY
National Provider Identifier
1780657148
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
158747 Issued in NY
Practice address
180 E Main St
Suite #5
Bay Shore, NY 11706-8427
Phone
(631) 751-3000
Fax
(631) 675-2001
NPI assigned
Feb 8, 2006
Reactivated
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 158747 NY Primary

Addresses

Primary practice location

180 E Main St
Suite #5
Bay Shore, NY 11706-8427

Mailing address

180 E Main St
Ste 5
Bay Shore, NY 11706-8427
Phone (631) 645-2842

Other identifiers 1

IdentifierTypeStateIssuer
00869003MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL rizvicancercare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20100316000163 NY Practitioner - Hematology/OncologyPractitioner - Medical Oncology 4486789542 Reassigns benefits to 3 organizations
Practice locations: Bay Shore, NY
I20230502002285 PA Practitioner - Medical OncologyPractitioner - Hematology/Oncology 4486789542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 362-8277

515 Main St
Olean, NY 14760-1513
Phone (716) 375-6993

Hospital & facility affiliations

  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Upmc Cole Hospital, Coudersport, PA, CCN 391313
  • Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Upmc Kane Hospital, Kane, PA, CCN 391318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158747NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Nov 20, 2019 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Preferred Professional Medical Care PC CurrentSince Jul 12, 2022 Accepting new patients
Olean General Hospital CurrentSince Jan 14, 2023 Accepting new patients
Olean General Hospital CurrentSince Dec 5, 2022 Accepting new patients
Olean General Hospital Hematology & Oncology Past Accepting new patients

Locations

515 Main St
Olean, NY 14760
Phone (716) 373-2600

528 N Barry St
Olean, NY 14760
Phone (716) 375-7416

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

111 Beach Dr
West Islip, NY 11795
Phone (631) 587-1600

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

116 Interstate Pkwy
Ste 22
Bradford, PA 16701
Phone (814) 362-8425

Interoperability endpoints

  • Direct secure messaging: hasanrizvi@healthsystemphysicianpc.medentdirect.com

Organizations & group practices 6

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

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1780657148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST",
            "address_2": "STE 5",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068427",
            "telephone_number": "631-645-2842",
            "fax_number": "866-252-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST",
            "address_2": "SUITE #5",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068427",
            "telephone_number": "631-751-3000",
            "fax_number": "631-675-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "HASAN",
        "middle_name": "AIJAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-07-09",
        "deactivation_date": "2019-06-28",
        "reactivation_date": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "158747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00869003",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rizvicancercare.com",
            "affiliation": "N",
            "address_1": "180 E Main St",
            "address_2": "Suite #5",
            "city": "Bay Shore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117068427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.