Individual provider Active NPI

Dacia Devian Hazarian, MD

  • Internal Medicine Physician
  • Cambria Heights, NY
National Provider Identifier
1962586552
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
228655 Issued in NY
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

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02782745MedicaidNY
228655OtherNYSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000224 NY Practitioner - Internal Medicine 3779687454 Reassigns benefits to 1 organization
Practice locations: Garden City, NY; Sunnyside, NY

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
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

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

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC Internal Medicine CurrentSince Nov 15, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 15, 2018 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

  • Direct secure messaging: dhazarian30111@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.