Individual provider Active NPI

Yasser Alhabashi

  • Student in an Organized Health Care Education/Training Program
  • Ellicott City, MD
National Provider Identifier
1790341519
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3734 Bonnybridge PL
Ellicott City, MD 21043-4131
Phone
(240) 278-1562
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3734 Bonnybridge PL
Ellicott City, MD 21043-4131

Mailing address

3734 Bonnybridge PL
Ellicott City, MD 21043-4131
Phone (240) 278-1562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Al Dental CurrentSince Sep 29, 2024 Accepting new patients

Locations

301 Maple Ave W
Ste 300
Vienna, VA 22180
Phone (703) 242-4555

Organizations & group practices 1

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1790341519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 BONNYBRIDGE PL",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434131",
            "telephone_number": "240-278-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 BONNYBRIDGE PL",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434131",
            "telephone_number": "240-278-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHABASHI",
        "first_name": "YASSER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.