S. HASAN PHYSICIAN PC
NPI 1104223569
Clinic/Center - Primary Care in Brooklyn, NY
About S. Hasan Physician Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
S. HASAN PHYSICIAN PC (NPI 1104223569) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since December 2014. The organization lists Shaikh N Hasan, President Of The Corporation, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
S. Hasan Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to S. Hasan Physician PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 S. Hasan Physician PC's NPI number?
The NPI number for S. Hasan Physician PC is 1104223569. It was assigned to this organization in the NPPES registry on December 1, 2014.
Where is S. Hasan Physician PC located?
S. Hasan Physician PC is located at 482 Mcdonald Ave, Brooklyn, NY 11218. The listed phone number is (718) 633-4677.
What is S. Hasan Physician PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is S. Hasan Physician PC enrolled in Medicare?
Yes. S. Hasan Physician PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through S. Hasan Physician PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to S. Hasan Physician PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for S. Hasan Physician PC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# S. Hasan Physician Pc · NPI 1104223569
Primary Care organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since December 1, 2014.
## Identity
- **NPI:** 1104223569 (Entity type: Organization)
- **Enumerated:** December 1, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Shaikh Hasan, PRESIDENT OF THE CORPORATION
## Practice location
- **Address:** 482 MCDONALD AVE, Brooklyn, NY 11218-3812
- **Phone:** (718) 633-4677 · **Fax:** (718) 633-3134
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2026
- **Other identifiers:** Medicaid 01919002 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1104223569) · Data from the CMS NPPES public registry.