Individual provider Active NPI

Samina Hassan, PA-C

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1902213747
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00351000 Issued in NJ
Practice address
1825 Eastchester Rd
Bronx, NY 10461-2301
Phone
(908) 616-5142
NPI assigned
Jul 14, 2014
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017737 NY
Physician Assistant 363A00000X 25MP00351000 NJ Primary

Addresses

Primary practice location

1825 Eastchester Rd
Bronx, NY 10461-2301

Mailing address

45 Griggs Dr
Dayton, NJ 08810-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, VA, FL, PA, WI6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20160609000398 NJ Practitioner - Physician Assistant 5092005702 Reassigns benefits to 7 organizations
I20190131001617 NY Practitioner - Physician Assistant 5092005702 Reassigns benefits to 2 organizations
I20230912000932 VA Practitioner - Physician Assistant 5092005702 Reassigns benefits to 1 organization
I20231105000015 FL Practitioner - Physician Assistant 5092005702 Reassigns benefits to 2 organizations
I20231115000013 PA Practitioner - Physician Assistant 5092005702 Reassigns benefits to 1 organization
I20240124000972 WI Practitioner - Physician Assistant 5092005702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017737NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Aug 1, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 1, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Central Jersey Urgent Care CurrentSince Jul 11, 2022 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 1, 2023 Accepting new patients
Central Jersey Urgent Care CurrentSince Jul 11, 2022 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Aug 1, 2023 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association CurrentSince Jan 1, 2026 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Jul 1, 2023 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

29980 Network Pl
Chicago, IL 60673

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: shassan215307@direct.aspirus.org

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1902213747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GRIGGS DR",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "908-616-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "SAMINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017737",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00351000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.