Individual provider Active NPI

Haneen Ali, MD

  • Diagnostic Radiology Physician
  • Newark, NJ
National Provider Identifier
1891054136
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
284291 Issued in NY
Practice address
201 Lyons Ave
Newark, NJ 07112-2027
Phone
(201) 926-7000
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 284291 NY Primary

Addresses

Primary practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

201 Lyons Ave
Newark, NJ 07112-2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160826001074 NY Practitioner - Diagnostic Radiology 1355636515 Reassigns benefits to 7 organizations
I20260331001696 NJ Practitioner - Diagnostic Radiology 1355636515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 523-4000

1176 5TH Ave
New York, NY 10029-6503
Phone (212) 241-8395

211 Bennington Ter
Paramus, NJ 07652-1335
Phone (516) 405-7080

256 C Mason St
Staten Island, NY 10304-3131
Phone (718) 226-6400

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai West Hospital, New York, NY, CCN 330046
  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284291NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Mar 1, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 28, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 2, 2024 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Oct 1, 2023 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Mar 29, 2025 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Jun 16, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 2, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Montefiore Medical Center CurrentSince Jun 16, 2016 Accepting new patients
Physicians of University Hospital, PC CurrentSince Aug 20, 2017 Accepting new patients
Physicians of University Hospital, PC CurrentSince Aug 20, 2017 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 28, 2022 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Mar 29, 2025 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations (25 of 29)

111 E 210th St
Bronx, NY 10467

200 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 798-5449

393 Old Country Rd
Carle Place, NY 11514
Phone (516) 877-0977

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

3712 82nd St
Ste 2
Jackson Heights, NY 11372
Phone (718) 879-1600

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

3722 82nd St
Jackson Hts, NY 11372
Phone (718) 779-1600

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

300 Community Dr
Plandome, NY 11030

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

1220 Hicksville Rd
Seaford, NY 11783

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: hali68450@northwell.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1891054136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "201-926-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "HANEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "284291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.