HAZIM MOUSTAFA
NPI 1700414612
Family Medicine - Sports Medicine in Commack, NY

Q: What is Hazim Moustafa's NPI number?

The NPI number for Hazim Moustafa is 1700414612. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Hazim Moustafa's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Hazim Moustafa was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment

500 COMMACK RD, COMMACK, NY 11725(631) 828-7220(631) 828-7899 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, May 15, 2023, Mar 28, 2020 (3 updates tracked since 2020).

On this page

About Hazim Moustafa NPPES

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

HAZIM MOUSTAFA (NPI 1700414612) is an individual sports medicine provider in Commack, New York, licensed in New York (331573) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and maintains a secondary practice location in Port Jefferson Station.

NPPES Registry Identity

NPI1700414612

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameHAZIM MOUSTAFA

Location Address500 COMMACK RDCommack, NY 11725-5020

Mailing Address1500 Route 112Port Jefferson Station, NY 11776-8054 · (631) 828-7220

Phone(631) 828-7220

Fax(631) 828-7899

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2019

Enumeration DateMarch 28, 2020

Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1700414612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NY · 331573

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

500 COMMACK RD, Commack, NY 11725

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Secondary Practice Location 1

Location 11500 Route 112Port Jefferson Station, NY 11776-8054 · Phone (631) 828-7220 · Fax (631) 828-7899

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hazim Moustafa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284056730

PECOS Enrollment IDI20240826003047

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

DR. JASON ADAM KLEIN M.D.

Pediatrics (Pediatric Endocrinology)