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ETHAN JOEL HADDAD
NPI 1003795998
Student in an Organized Health Care Education/Training Program in Forest Hills, NY

Active since August 27, 2025
11655 QUEENS BLVD STE 216, FOREST HILLS, NY 11375(212) 804-7659 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Joel Haddad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN JOEL HADDAD (NPI 1003795998) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1003795998
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN JOEL HADDAD
Location Address11655 QUEENS BLVD STE 216Forest Hills, NY 11375-6527
Mailing Address11655 Queens Blvd Ste 216Forest Hills, NY 11375-6527 · (212) 804-7659
Phone(212) 804-7659
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1003795998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11655 QUEENS BLVD STE 216, Forest Hills, NY 11375
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY CAMPOS JIMENEZ
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
JEMYCHELLE TODOROVICH
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
JAILYN DIAZ
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
KHYLAR SANDERS
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
REBECCA KIM
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
DELL WEDNESDAE TANGENTE
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 470-1382
TRICIA HARRELL
Behavior Analyst
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
JADE CLEMONS
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Haddad's NPI number?

The NPI number for Ethan Haddad is 1003795998. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Ethan Haddad located?

Ethan Haddad practices at 11655 Queens Blvd Ste 216, Forest Hills, NY 11375. The listed phone number is (212) 804-7659.

What is Ethan Haddad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Haddad was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.