Organization Active NPI

Syeda I Hasan, M.D.P.C

  • Child & Adolescent Psychiatry Physician
  • Summit, NJ
National Provider Identifier
1902057714
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA06389200 Issued in NJ
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

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Syeda I HasanNPI 1447370259
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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20221028000967 NY Part B Supplier - Clinic/Group Practice 2062698152 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.