Jack Hazan LLC
NPI 1508639279 · Community/Behavioral Health Agency · Miami Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Hazan LLC is a Community/Behavioral Health Agency organization in Miami Beach, FL (NPI 1508639279).
Provider details
- NPI number
- 1508639279
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jack Hazan, Owner(917) 453-9306
Specialties & taxonomies
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 16 E 41st St Ste 5cNew York, NY 10017-6217Phone: (646) 692-0761
- 401 W 25th St Apt 13cNew York, NY 10001-6575Phone: (917) 453-9306
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Jack Hazan LLC's NPI number?
- Jack Hazan LLC's National Provider Identifier (NPI) is 1508639279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Hazan LLC?
- Jack Hazan LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Jack Hazan LLC located?
- Jack Hazan LLC's practice location on file with NPPES is 1504 Bay Rd Apt 2003, Miami Beach, FL 33139-3277.
- What is Jack Hazan LLC's phone number?
- The practice phone number listed in the NPPES registry for Jack Hazan LLC is (646) 692-0761.
- Does Jack Hazan LLC accept Medicare?
- Jack Hazan LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack Hazan LLC?
- The authorized official listed on Jack Hazan LLC's NPPES record is Jack Hazan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Hazan LLC's NPI active?
- Yes — Jack Hazan LLC's NPI (1508639279) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.