Hissan Akbar, PA-C
Individual provider Active NPI Physician Assistant · Deer Park, NY
NPI 1881453520 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1881453520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 29 W 19TH St
Deer Park, NY 11729-3909 - Phone
- (347) 891-6812
- NPI assigned
- Mar 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York University
Island Emergency Medical Services PC
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (240) 686-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241216001006 | NY | Practitioner - Physician Assistant | 1759817695 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| Island Emergency Medical Services, P.C. | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients |
Locations
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- hakbar646679@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
29 W 19TH St
Deer Park, NY 11729-3909
Mailing address
29 W 19TH St
Deer Park, NY 11729-3909
Phone (347) 891-6812
Other providers in Deer Park, NY
- Emiola Omolola Adegbite
- Olufemi Eyitayo Adeyeye
- Stacy L Agnoli
- Lamia Ahad
- Alex Joseph Aiello
- Rezan Akpinar
- Al-Shifaa Healing Sanctuary
- Alam Medical, PC
- Douglas Anthony Alberici
- Alexander Schwindeman Physcial Therapist
All providers in Deer Park, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.