Active NPI
Syeda I Hasan, M.D.P.C
- Child & Adolescent Psychiatry Physician
- Summit, NJ
National Provider Identifier
1902057714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA06389200
- Legal business name
- SYEDA I HASAN, M.D.P.C
- Practice address
- 28 Beechwood Rd Ste 4
Summit, NJ 07901-2532 - Phone
- (908) 608-1414
- Fax
- (908) 608-9441
- NPI assigned
- Oct 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Syeda I Hasan
- Title
- M.D.
- Phone
- (908) 608-1414
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA06389200 | NJ | Primary |
Addresses
Primary practice location
28 Beechwood Rd Ste 4
Summit, NJ 07901-2532
Mailing address
28 Beechwood Rd Ste 4
Summit, NJ 07901-2532
Phone (908) 608-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
33 Overlook Rd
Ste 210
Summit, NJ 07901
Phone (908) 273-0800
28 Beechwood Rd
Ste 4
Summit, NJ 07901
Phone (908) 608-1414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Poughkeepsie, NY
- NPI 1447370259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305504000000",
"number": "1902057714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BEECHWOOD RD STE 4",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012532",
"telephone_number": "908-608-1414",
"fax_number": "908-608-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 BEECHWOOD RD STE 4",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012532",
"telephone_number": "908-608-1414",
"fax_number": "908-608-9441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYEDA I HASAN, M.D.P.C",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-10",
"last_updated": "2011-05-16",
"status": "A",
"authorized_official_last_name": "HASAN",
"authorized_official_first_name": "SYEDA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "908-608-1414",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MA06389200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.