Active NPI
Dacia Devian Hazarian, MD
- Internal Medicine Physician
- Cambria Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 228655
- Practice address
- 206-20 Linden Blvd
Cambria Heights, NY 11411-1524 - Phone
- (718) 479-6600
- Fax
- (718) 264-7080
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 228655 | NY | Primary |
Addresses
Primary practice location
206-20 Linden Blvd
Cambria Heights, NY 11411-1524
Mailing address
55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888
Other practice location 1
260 W Sunrise Hwy Ste 200
Valley Stream, NY 11581-1015
Phone (516) 825-3600
Other practice location 2
4338 44th St
Long Island City, NY 11104-4608
Phone (718) 786-2734
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02782745 | Medicaid | NY | |
| 228655 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 W Sunrise Hwy
Suite 200
Valley Stream, NY 11581-1015
Phone (516) 825-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Internal Medicine | Current | Accepting new patients |
| Advantagecare Physicians PC | Current | Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
20620 Linden Blvd
Cambria Hts, NY 11411
Phone (718) 479-6600
2915 Far Rockaway Blvd
Far Rockaway, NY 11691
Phone (347) 230-4076
55 Water St
Fl 2
New York, NY 10041
260 W Sunrise Hwy
Ste 200
Valley Stream, NY 11581
Phone (516) 825-3600
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- dhazarian30111@direct.acpny.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
- dacia.devianhazarian@hazarianmedassociates.ehi.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1962586552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410010",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206-20 LINDEN BLVD",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111524",
"telephone_number": "718-479-6600",
"fax_number": "718-264-7080"
}
],
"practiceLocations": [
{
"address_1": "260 W Sunrise Hwy Ste 200",
"address_purpose": "LOCATION",
"city": "Valley Stream",
"state": "NY",
"postal_code": "115811015",
"country_code": "US",
"telephone_number": "516-825-3600",
"fax_number": "516-872-5137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4338 44th St",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "111044608",
"country_code": "US",
"telephone_number": "718-786-2734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVIAN HAZARIAN",
"first_name": "DACIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "228655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02782745",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "228655",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.