JACK HAZAN (NPI# 1376022079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376022079 |
| Entity Type | Individual |
| Full Name | JACK HAZAN |
| Credential | MHC-LP |
| Practice Address |
171 Madison Ave Rm 1000 New York NY 10016-5121 |
| Mailing Address |
200 E 15th St Apt 17b New York NY 10003-3920 |
| Practice Telephone | 9174539306 |
| Mailing Telephone | 9174539306 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NY | Behavioral Health & Social Service Providers |
| Street Address |
171 MADISON AVE RM 1000 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669698841 | Jose Camacho | Family Medicine | 171 Madison Ave Rm 1000, New York, NY 10016-5121 | 2007-04-17 |
| 1962053884 | Brittany Lynch | Social Worker | 171 Madison Ave Rm 1000, New York, NY 10016-5121 | 2019-09-23 |
| 1891252870 | Moonching Wu Acupuncture Pllc | Clinic/Center | 171 Madison Ave Rm 1000, New York, NY 10016-5121 | 2019-02-26 |
| 1487110888 | Kinesioworks Physical Therapy, P.C. | Physical Therapist | 171 Madison Ave Rm 1000, New York, NY 10016-5121 | 2019-02-11 |
| 1003394578 | Sarah Meckler | Social Worker | 171 Madison Ave Rm 1000, New York, NY 10016-5121 | 2018-08-06 |
| 1700363710 | Jamie Ruth Genatt | Social Worker | 171 Madison Ave Rm 1000, New York, NY 10016-5121 | 2018-07-23 |
| 1841561065 | Patricia Thornton | Psychologist | 171 Madison Ave Rm 1000, New York, NY 10016-5121 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1801496237 | Vivian Martinez | Counselor | 200 W 108th St Apt 3f, New York, NY 10025-2947 | 2020-10-26 |
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1083213144 | Isaiah David Putman | Counselor | 236 W 64th St Apt 2h, New York, NY 10023-6433 | 2020-10-20 |
| 1790383826 | Iris M Canales | Counselor | Gusatave L Levy Place, Mount Sinai Hospital, New York, NY 10029-6574 | 2020-10-12 |
| 1508463860 | Marley S Moreira-rivera | Counselor | 2578 Broadway # 507, New York, NY 10025-5642 | 2020-10-08 |
| 1629675194 | Colombage Asha De Costa | Counselor | 106 Fort Washington Ave Apt 3k, New York, NY 10032-4723 | 2020-10-07 |
| 1497352603 | Arlene Pineda | Counselor | 303 5th Ave Fl 14, New York, NY 10016-6601 | 2020-10-01 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on JACK HAZAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.