Individual provider Active NPI

Quamrul Hasan, M.D.

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1992820898
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P41343 Issued in NY
Practice address
1500 Waters PL
Bronx, NY 10461-2723
Phone
(718) 931-0600
Fax
(718) 862-4889
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P41343 NY Primary
Clinical Neuropsychologist 103G00000X 257195 NY

Addresses

Primary practice location

1500 Waters PL
Bronx, NY 10461-2723

Mailing address

13 Cardinal Dr
Plainsboro, NJ 08536-2060
Phone (609) 936-1002

Other identifiers 1

IdentifierTypeStateIssuer
257195MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121002000573 NJ Practitioner - Psychiatry 8820247158 Reassigns benefits to 2 organizations
I20171102002636 NY Practitioner - Psychiatry 8820247158 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257195NYMDClinical Neuropsychologist
P41343NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Aug 18, 2012 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Psychiatry CurrentSince Nov 1, 2017 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Nov 1, 2017 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Aug 18, 2012 Accepting new patients
Princeton House Provider Group LLC Psychiatry CurrentSince Sep 1, 2015 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Harlem Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

1460 Livingston Ave
Bldg 100
North Brunswick, NJ 08902
Phone (732) 729-3600

905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: qhasan844148@nychhc.direct-ci.com

Organizations & group practices 10

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1992820898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CARDINAL DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362060",
            "telephone_number": "609-936-1002",
            "fax_number": "609-936-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612723",
            "telephone_number": "718-931-0600",
            "fax_number": "718-862-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "QUAMRUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "P41343",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "257195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257195",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.