Individual provider Active NPI

Weymin Hago, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1992941314
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
258181 Issued in NY
Practice address
450 Park Ave S
Suite 202
New York, NY 10016-7320
Phone
(646) 688-3145
Fax
(646) 626-7555
NPI assigned
Jan 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 258181 NY Primary

Addresses

Primary practice location

450 Park Ave S
Suite 202
New York, NY 10016-7320

Mailing address

3731 73Rd St
Apt 6F
Jackson Heights, NY 11372-6250

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

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
I20110119000979 NY Practitioner - Internal Medicine 9739368093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

274 Madison Ave
RM 1804
New York, NY 10016-0716
Phone (347) 468-2592

93 Main St a
Kings Park, NY 11754-2740
Phone (631) 292-2725

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258181NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Park Medicine PC CurrentSince Dec 18, 2013 Accepting new patients
Empire Ny Medical Care PLLC CurrentSince Jun 22, 2011 Accepting new patients
Llobet Medical Group PLLC Internal Medicine PastSince Dec 1, 2007 Accepting new patients

Locations

93 Main St
Ste A
Kings Park, NY 11754
Phone (631) 292-2725

325 Albany Ave
Kingston, NY 12401
Phone (845) 334-9585

274 Madison Ave
Rm 1804
New York, NY 10016
Phone (347) 468-2592

928 Broadway
Ste 301
New York, NY 10010
Phone (646) 421-6064

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1992941314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 73RD ST",
            "address_2": "APT 6F",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PARK AVE S",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167320",
            "telephone_number": "646-688-3145",
            "fax_number": "646-626-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGO",
        "first_name": "WEYMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.