Individual provider Active NPI

Steve Sang Hahn, MD

  • General Practice Physician
  • Staten Island, NY
National Provider Identifier
1821084948
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
151423 Issued in NY
Practice address
75 Briarcliff Rd
Staten Island, NY 10305-2620
Phone
(718) 981-1903
Fax
(718) 981-1903
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 151423 NY Primary

Addresses

Primary practice location

75 Briarcliff Rd
Staten Island, NY 10305-2620

Mailing address

75 Briarcliff Rd
Staten Island, NY 10305-2620
Phone (718) 981-1903

Other identifiers 1

IdentifierTypeStateIssuer
00935988MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151423NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Parkway Hospital Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1821084948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BRIARCLIFF RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052620",
            "telephone_number": "718-981-1903",
            "fax_number": "718-981-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BRIARCLIFF RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052620",
            "telephone_number": "718-981-1903",
            "fax_number": "718-981-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "STEVE",
        "middle_name": "SANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "151423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00935988",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.