Carole Hazan, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

243559 Issued in NY

Practice address

3111 New Hyde Park Rd
New Hyde Park, NY 11042-1217

Phone

(516) 365-2300

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.02 of 100Reported as individual

Quality

76.41

Improvement activities

40

Cost

58.2

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chazan@asdnymd.directmedgenehr.com

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.

• Aesthetic and Surgical Dermatology of New York, P.C.

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1679702740

  Mohs-Micrographic Surgery

  Medicare reassignment NPD Authorized official
• Dermatology Associates of Westchester PC

  • Specialist
  • New Rochelle, NY
  • NPI 1821166687
  NPD (past)
• John F. Romano M.D. PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1548404221
  NPD (past)
• Waldorf Dermatology & Laser Associates, P.C.

  • Dermatology Physician
  • Nanuet, NY
  • NPI 1447304183

  Mohs-Micrographic Surgery

  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1871713156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421217",
            "telephone_number": "516-365-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 NEW HYDE PARK RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421217",
            "telephone_number": "516-365-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZAN",
        "first_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "243559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "113283891",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4K3671",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7874802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Hayes, M.D.
• Michelle Sarah Haykin
• Robert Hayman, MD
• Danielle Haynes, LISW
• Karyn Haynes, CNP
• Roslyn Coreen Hazell, FNP
• Healing Touch Physical Therapy & Rehabilitation P C
• Health Bridge Concierge Medicine
• Health Pharmacy RX Inc.
• William Andrew Heaton, MD

• MOHS-Micrographic Surgery Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.