Individual provider Active NPI

David Hahn, FNP

  • Family Nurse Practitioner
  • PT Byron, NY
National Provider Identifier
1841606803
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338919 Issued in NY
Practice address
60 Main Street
PT Byron, NY 13140-0359
Phone
(315) 776-9700
Fax
(315) 776-9701
NPI assigned
Jul 10, 2014
Last updated
May 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338919 NY Primary

Addresses

Primary practice location

60 Main Street
PT Byron, NY 13140-0359

Mailing address

PO Box 423
Penn Yan, NY 14527-0423
Phone (315) 531-9102

Other identifiers 1

IdentifierTypeStateIssuer
03923159MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140919001913 NY Practitioner - Nurse Practitioner 8224257472 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
338919NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Community Health Current Accepting new patients
Cardiac Electrophysiology Consultants LLC CurrentSince Dec 16, 2019 Accepting new patients
Finger Lakes Community Health CurrentSince Mar 28, 2016 Accepting new patients
Ahmad M. Mehdi M.D P.C Family CurrentSince Apr 1, 2020 Accepting new patients
Hahn Health Care Family NP in Family Health P.C. Current Accepting new patients
Tech E-Cardia Inc CurrentSince Dec 16, 2019 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Sep 14, 2020 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

6700 Kirkville Rd
Ste 203
East Syracuse, NY 13057
Phone (315) 277-2707

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

100 Sykes St
Groton, NY 13073
Phone (607) 898-4602

505 State Route 281
Tully, NY 13159
Phone (315) 696-2400

Interoperability endpoints

  • Direct secure messaging: dhahn@landmarkhealth-direct.org

Organizations & group practices 7

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1841606803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145270423",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN STREET",
            "city": "PT BYRON",
            "state": "NY",
            "postal_code": "131400359",
            "telephone_number": "315-776-9700",
            "fax_number": "315-776-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "DAVID",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03923159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in PT Byron, NY

Sources for this page

Verify at the official NPI Registry.