Active NPI
Weymin Hago, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 258181
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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, 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258181 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Park Medicine PC | Current | Accepting new patients | |
| Empire Ny Medical Care PLLC | Current | Accepting new patients | |
| Llobet Medical Group PLLC | Internal Medicine | Past | 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.
-
- Medical Specialty Clinic/Center
- New York, NY
- NPI 1750690806
-
- Family Medicine Physician
- Kings Park, NY
- NPI 1609200716
-
- Internal Medicine Physician
- Margaretville, NY
- NPI 1417139346
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.