Individual provider Active NPI

Saroj Arvind Hazari, MD

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1942208566
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
142907-1 Issued in NY
Practice address
248 Albourne Ave
Staten Island, NY 10309-3033
Phone
(718) 967-2879
Fax
(718) 967-2581
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 142907-1 NY Primary

Addresses

Primary practice location

248 Albourne Ave
Staten Island, NY 10309-3033

Mailing address

248 Albourne Ave
Staten Island, NY 10309-3033
Phone (718) 967-2879

Other identifiers 1

IdentifierTypeStateIssuer
01173977MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142907-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Medical Group, PC Past Accepting new patients
TBHC Anesthesiology Services, PC Past Accepting new patients
Richmond Physicians Services, P.C. Anesthesiology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1942208566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 ALBOURNE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093033",
            "telephone_number": "718-967-2879",
            "fax_number": "718-967-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 ALBOURNE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093033",
            "telephone_number": "718-967-2879",
            "fax_number": "718-967-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARI",
        "first_name": "SAROJ",
        "middle_name": "ARVIND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "142907-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01173977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.