Organization Active NPI

Hazarian Medical Associates PLLC

  • Internal Medicine Physician
  • Sunnyside, NY
National Provider Identifier
1821319765
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219504 Issued in NY
Legal business name
HAZARIAN MEDICAL ASSOCIATES PLLC
Practice address
4338 44TH St
Sunnyside, NY 11104-4608
Phone
(718) 786-2734
Fax
(718) 786-5304
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Dr. Arthur Hazarian, M.D.NPI 1336207364
Title
Owner/President
Phone
(718) 786-2734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 219504 NY Primary

Addresses

Primary practice location

4338 44TH St
Sunnyside, NY 11104-4608

Mailing address

4338 44TH St
Sunnyside, NY 11104-4608
Phone (718) 786-2734

Other identifiers 1

IdentifierTypeStateIssuer
02105599MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000135 NY Part B Supplier - Clinic/Group Practice 6800063454 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, NY; Sunnyside, NY

National Provider Directory

National Provider Directory

Locations

109 7th St
Unit C1094
Garden City, NY 11530
Phone (516) 280-7810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1821319765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 44TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111044608",
            "telephone_number": "718-786-2734",
            "fax_number": "718-786-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 44TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111044608",
            "telephone_number": "718-786-2734",
            "fax_number": "718-786-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZARIAN MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "HAZARIAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-786-2734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02105599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.