Individual provider Active NPI

Daniel Avraham Hayyim

  • Surgical Assistant
  • College Point, NY
National Provider Identifier
1801284187
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
14-619 Issued in CA
Practice address
11603 14TH Rd
College Point, NY 11356-1524
Phone
(718) 888-1828
NPI assigned
Jan 8, 2015
Last updated
Jan 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 14-619 CA Primary

Addresses

Primary practice location

11603 14TH Rd
College Point, NY 11356-1524

Mailing address

11603 14TH Rd
College Point, NY 11356-1524
Phone (718) 888-1828

Other identifiers 1

IdentifierTypeStateIssuer
246ZC0007XOtherFLSURGICAL ASSISTANT SELF EMPLOYEE

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

State licenses

LicenseStateTypeSpecialty
14-619CAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1801284187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 14TH RD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561524",
            "telephone_number": "718-888-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 14TH RD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561524",
            "telephone_number": "718-888-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYYIM",
        "first_name": "DANIEL",
        "middle_name": "AVRAHAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CA",
            "license": "14-619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL ASSISTANT SELF EMPLOYEE",
            "identifier": "246ZC0007X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.