CARLOS C. BAZAN


Address: 7649 Hewlett St, New Hyde Park, NY 11040-1429
Phone: 5164885366

CARLOS C. BAZAN (NPI# 1699874321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699874321
Entity Type Individual
Full Name CARLOS C. BAZAN
Credential M.D.
Practice Address 7649 Hewlett St
New Hyde Park
NY 11040-1429
Practice Telephone 5164885366
Mailing Telephone 5164885366
Enumeration Date 2006-09-21
Last Update Date 2008-11-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
086537 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY MEDICARE PTAN 03335 01

Other Providers CARLOS BAZAN

NPI Name Taxonomy Address Enumeration
1083634794 Carlos Bazan IIi Radiology 7703 Floyd Curl Dr, Department of Radiology, San Antonio, TX 78229-3901 2006-07-19

Office Location

Street Address 7649 HEWLETT ST
City NEW HYDE PARK
State NY
Zip Code 11040-1429

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306446653 Yarimar Lugo-andujar Psychologist 7649 Hewlett St, New Hyde Park, NY 11040-1429 2020-10-27
1295334092 Rosemaria Cavaliere Psychologist 7649 Hewlett St, New Hyde Park, NY 11040-1429 2020-10-22
1215562434 Immacula Berrouet Counselor 7649 Hewlett St, New Hyde Park, NY 11040-1429 2020-03-09
1255965182 Chiroshri Bhattacharjee Psychologist 7649 Hewlett St, New Hyde Park, NY 11040-1429 2020-02-29
1326682436 Florence Metellus Occupational Therapy Assistant 7649 Hewlett St, New Hyde Park, NY 11040-1429 2019-10-31
1356991632 Nazreen Raffie Occupational Therapy Assistant 7649 Hewlett St, New Hyde Park, NY 11040-1429 2019-09-18
1669020129 Elliot Greene Counselor 7649 Hewlett St, New Hyde Park, NY 11040-1429 2019-08-28
1942760798 Carmen A Pantoja Physical Medicine & Rehabilitation 7649 Hewlett St, New Hyde Park, NY 11040-1429 2019-03-20
1417428558 Monica Cassidy Occupational Therapy Assistant 7649 Hewlett St, New Hyde Park, NY 11040-1429 2018-12-16
1699244038 Nicole Felix-renois Counselor 7649 Hewlett St, New Hyde Park, NY 11040-1429 2018-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598366734 Naurin Shaki Case Management 108 Bryant Ave, New Hyde Park, NY 11040 2020-11-04
1326645920 Oksana Isakharov Marriage & Family Therapist Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 2020-10-06
1639784036 Michelle Edith Narain Nurse Practitioner 270-05 76th Aveune, New Hyde Park, NY 11040 2020-09-11
1124636188 Shannon Maureen O'connell Physician Assistant 270-05 270th Ave, New Hyde Park, NY 11040 2020-07-16
1851929384 Hollie Brown Student in an Organized Health Care Education/Training Program 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 2020-03-30
1780211797 Miriam Tarrash Student in an Organized Health Care Education/Training Program Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-03-27
1902438971 Kristina Petrich Student in an Organized Health Care Education/Training Program Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-02-07
1528622735 David Olatunji Omole Dentist 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 2019-04-24
1720642093 Thanzina Chowdhury Pharmacy 271-11 76th Ave, Queens, NY 11040 2019-04-23
1427519834 Connor William Crowley Student in an Organized Health Care Education/Training Program Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 2019-03-28
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Taxonomy Information

Taxonomy Code 2082S0105X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery
Specialization Surgery of the Hand

Taxonomy Definition

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720550163 Dr. Nadeem Chaudhry Medical P.C. Plastic Surgery 8411 7th Ave, Brooklyn, NY 11228-3240 2018-12-26
1376941294 Wilson C. Chau Physician, Pllc Plastic Surgery 4231 Colden Street 109, Flushing, NY 11355-3982 2014-12-09
1659406593 Abralena De Jesus Wilson Plastic Surgery 234 Eugenio Maria De Hosto Blvd, Bronx, NY 10451-5504 2007-02-22
1952478729 Marc Jeffrey Elkowitz Plastic Surgery 107 Northern Blvd Suite 203, Great Neck, NY 11021 2006-11-29
1114001880 David Tak Wai Chiu Plastic Surgery 900 Park Ave, New York, NY 10021-0231 2006-10-25
1316036866 Glenn Adam Becker Plastic Surgery 121 E 60th St Apt 2e, New York, NY 10022-1164 2006-10-12
1740376151 Marciano I Miclat Jr. Plastic Surgery 1 Winding Brook Dr, Larchmont, NY 10538-1018 2006-10-04
1568578078 Suffolk Plastic Surgeons, PC Plastic Surgery 179 Belle Mead Rd, Suite 1, East Setauket, NY 11733-3456 2006-08-21
1295741395 Nadeem Ahmad Chaudhry Plastic Surgery 8411 7th Avenue, Brooklyn, NY 11228-3240 2006-07-31
1457324568 Judy Ann Emanuele Plastic Surgery 1267 E Main St, Suite B, Riverhead, NY 11901-2673 2006-02-09
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Competitor

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City NEW HYDE PARK
Zip Code 11040

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Dataset Information

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.

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