Hasan Nezam, MD

Preventive Medicine, Occupational Medicine in Philadelphia, PA. Individual provider (NPI-1).

NPI number1144500364

StatusActive

Last updated in NPPESMar 19, 2025

Details

NPI: 1144500364
Entity type: Individual (NPI-1)
Name: Hasan Nezam
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 18, 2011
Certification date: Mar 19, 2025
Last updated: Mar 19, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PREVENTIVE MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2083X0100X	Preventive Medicine, Occupational Medicine	MD475223	PA	Yes

Practice location

3400 Spruce Street
Ravdin 2nd Floor
Philadelphia, PA 19104-4238

Phone 215-662-6408

Mailing address

3600 Civic Center Blvd
Philadelphia, PA 19104

Phone 215-662-6408

Other practice locations

4802 10th Ave
Brooklyn, NY 11219

Phone 718-283-6078

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Medicine Physician providers in Philadelphia, PA

All 18 Occupational Medicine Physician providers in Philadelphia · All 53,595 providers in Philadelphia

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