DR. CAROLE HAZAN (NPI# 1871713156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871713156 |
| Entity Type | Individual |
| Full Name | DR. CAROLE HAZAN |
| Credential | MD |
| Practice Address |
3111 New Hyde Park Rd New Hyde Park NY 11042-1217 |
| Practice Telephone | 5163652300 |
| Mailing Telephone | 5163652300 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2009-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
243559 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNITED HEALTHCARE | 113283891 | 01 |
| NY | BC/BS | 4K3671 | 01 |
| NY | CIGNA | 7874802 | 01 |
| Street Address |
3111 NEW HYDE PARK RD |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200395 | Dariush Radparvar | Radiology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2006-01-21 |
| 1073918009 | Integrated Medical Professionals Pllc | Non-Pharmacy Dispensing Site | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2014-11-04 |
| 1457799777 | Tarnima Yasmin Ahamed | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2013-06-09 |
| 1336435809 | Tiffany Christine Hunter | Obstetrics & Gynecology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2011-06-23 |
| 1801128996 | Metropolitan Urological Specialist | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2010-02-01 |
| 1679702740 | Aesthetic and Surgical Dermatology of New York, P.C. | Dermatology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2009-07-09 |
| 1841424009 | Dorene Marinese | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1209 | 2009-05-03 |
| 1114108073 | David Cooper Md PC | Specialist | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2007-11-20 |
| 1093816605 | Elizabeth Femenia | Physician Assistant | 3111 New Hyde Park Rd, New Hyde Park, NY 11040 | 2006-09-26 |
| 1508961814 | Carl A Olsson | Specialist | 3111 New Hyde Park Rd, First Floor, New Hyde Park, NY 11042-1209 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700229283 | Richard Lawrence Torbeck IIi | Dermatology | 6 Lowell Ave, New Hyde Park, NY 11040-2810 | 2013-04-15 |
| 1679702740 | Aesthetic and Surgical Dermatology of New York, P.C. | Dermatology | 3111 New Hyde Park Rd, New Hyde Park, NY 11042-1217 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 1598043432 | Marmur Dermatology and Cardiology, Pllc | Dermatology | 12 E 87th St Suite 1a, New York, NY 10128-0501 | 2011-07-26 |
| 1427343391 | Skin Cancer and Aesthetic Surgery, P.C. | Dermatology | 2727 Ocean Pkwy, Suite L1, Brooklyn, NY 11235-7857 | 2011-06-18 |
| 1174814735 | Reason Wilken | Dermatology | 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 | 2011-04-29 |
| 1760658033 | Advanced Dermatology PC | Dermatology | 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 | 2008-05-06 |
| 1255535993 | Weill Medical College of Cornell University | Dermatology | 1305 York Ave., 9th Floor, New York, NY 10021-4870 | 2007-06-14 |
| 1336291657 | Michael Jonathan Albom | Dermatology | 33 E 70th St, 1f, New York, NY 10021-4941 | 2007-01-17 |
| 1386719425 | Ronald R Brancaccio Md & Peter Saitta Do PC | Dermatology | 7901 4th Avenue, Apt A20, Brooklyn, NY 11209-3957 | 2006-11-22 |
| 1255415113 | The Center for Dermatologic Surgery of Monroe | Dermatology | 503 State Route 208, Monroe, NY 10950-1619 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| 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.