Organization Active NPI

Joseph Hallak

  • Eyewear Supplier
  • Hicksville, NY
National Provider Identifier
1932363561
Registry record updated Jul 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV3362 Issued in NY
Legal business name
JOSEPH HALLAK
Practice address
183 Broadway Ste 308
Hicksville, NY 11801-4242
Phone
(516) 935-0717
NPI assigned
Jul 13, 2008
Last updated
Jul 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2008

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

Authorized official

Name
Joseph HallakNPI 1063477602
Title
OD
Phone
(516) 935-0717

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
Eyewear Supplier 332H00000X TUV3362 NY Primary

Addresses

Primary practice location

183 Broadway Ste 308
Hicksville, NY 11801-4242

Mailing address

183 Broadway Ste 308
Hicksville, NY 11801-4242
Phone (516) 935-0717

Other identifiers 1

IdentifierTypeStateIssuer
00734116MedicaidNY

National Provider Directory

National Provider Directory

Locations

183 Broadway
Ste 308
Hicksville, NY 11801
Phone (516) 486-0094

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215907200000",
    "number": "1932363561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BROADWAY STE 308",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014242",
            "telephone_number": "516-935-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BROADWAY STE 308",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014242",
            "telephone_number": "516-935-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH HALLAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A",
        "authorized_official_last_name": "HALLAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "516-935-0717"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV3362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00734116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.