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Susmita Hazarika

Psychiatry & Neurology, Psychiatry in Philadelphia, PA. Individual provider (NPI-1).

NPI number1982142550
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1982142550
Entity type
Individual (NPI-1)
Name
Susmita Hazarika
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2017
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PSYCHIATRY
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 codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, PsychiatryMD479425PAYes
2084P0800X Psychiatry & Neurology, Psychiatry224287NC
2084P0800X Psychiatry & Neurology, Psychiatry317453NY

Practice location

1420 Walnut St Ste 1012
Philadelphia, PA 19102-4010

Phone 855-940-4867

Mailing address

504 E 63rd St Apt 33l
New York, NY 10065-7929

Other practice locations

504 E 63rd St Apt 33l
New York, NY 10065-7929

Phone 917-783-3078

5092 Nottingham Place Ln
Apt 202
Winston Salem, NC 27106-4690

Phone 336-716-4551

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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.

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