NPIMap

Individual provider Active NPI

Choudhury Manjurul Hasan, M.D FACC, FCCP,FSACI

  • Cardiovascular Disease Physician
  • Jamaica, NY
National Provider Identifier
1780661009
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
193570 Issued in NY
Practice address
8405 169TH St
Jamaica, NY 11432-2033
Phone
(718) 657-8001
Fax
(718) 732-0783
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 193570 NY Primary
Interventional Cardiology Physician 207RI0011X 193570 NY

Addresses

Primary practice location

8405 169TH St
Jamaica, NY 11432-2033

Mailing address

8405 169TH St
Jamaica, NY 11432-2033
Phone (718) 657-8001

Other identifiers 1

IdentifierTypeStateIssuer
01878124MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000147 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 8224096052 Practice locations: Jamaica, NY; Ridgewood, NY; Rego Park, NY; Ozone Park, NY; New York, NY; Jackson Heights, NY; Flushing, NY; Brooklyn, NY…

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10516 75TH St
Ozone Park, NY 11417-1002
Phone (718) 657-8001

3506 73Rd St
Jackson Heights, NY 11372-4148
Phone (718) 505-2850

602 Schenectady Ave
Brooklyn, NY 11203-1821
Phone (718) 657-8001

8405 169TH St
Jamaica, NY 11432-2033
Phone (718) 657-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mediflex Corp CurrentSince Jul 1, 2026 Accepting new patients
NS Sono Inc CurrentSince Jul 8, 2026 Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
CMM Hasan, Physician Cardiovascular Disease PastSince Jan 1, 2005 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Oms Podiatry Services PC Past Accepting new patients
Island Allergy & Asthma PC Past Accepting new patients
Z Radiology Services PC Past Accepting new patients
Sikder Medical Care P.C. Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: cmmhasanphysician.hasanchoudhury@129053.advancedmd-direct.com

Organizations & group practices 9

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1780661009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322033",
            "telephone_number": "718-657-8001",
            "fax_number": "718-732-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322033",
            "telephone_number": "718-657-8001",
            "fax_number": "718-732-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "CHOUDHURY",
        "middle_name": "MANJURUL",
        "name_prefix": "Dr.",
        "credential": "M.D FACC, FCCP,FSACI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "193570",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "193570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01878124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.