LEEN HASAN
NPI 1205457298
Student in an Organized Health Care Education/Training Program in Hartford, CT

Active since April 30, 2020PECOS Enrolled
79 RETREAT AVE, HARTFORD, CT 06106(860) 972-0200(860) 545-3149 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leen Hasan NPPES

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

LEEN HASAN (NPI 1205457298) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205457298
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLEEN HASAN
Location Address79 RETREAT AVEHartford, CT 06106-2527
Mailing Address263 Farmington AveFarmington, CT 06030-1921 · (860) 679-2147 · Fax (860) 679-4624
Fax(860) 545-3149
Sole ProprietorNo
Enumeration DateApril 30, 2020
NPPES CertifiedApril 30, 2020
NPI 1205457298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

79 RETREAT AVE, Hartford, CT 06106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leen Hasan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pharmacist (Pharmacotherapy)
79 RETREAT AVE, ADULT PRIMARY CARE PRACTICE
HARTFORD, CT 06106
Dentist
79 RETREAT AVE, HARTFORD HOSPITAL BROWNSTONE BUILDING DENTAL DEPARTMENT
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
79 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
79 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
79 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
79 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
79 RETREAT AVE
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
79 RETREAT AVE
HARTFORD, CT 06106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205457298, enumerated as an "individual" on April 30, 2020.

The provider is located at 79 RETREAT AVE HARTFORD, CT 06106 and the phone number is (860) 972-0200.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.