Provider Demographics
NPI:1396732954
Name:USAL, HAKAN M (MD)
Entity type:Individual
Prefix:
First Name:HAKAN
Middle Name:M
Last Name:USAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:535 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4224
Mailing Address - Country:US
Mailing Address - Phone:732-333-8720
Mailing Address - Fax:848-800-4801
Practice Address - Street 1:305 ROUTE 17 SOUTH UNIT 3-100A
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-967-9200
Practice Address - Fax:201-967-8300
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4791542086S0122X
NY2137752086S0122X
NJ25MA067545002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY40L471Medicare PIN
NY40L47WR571Medicare PIN
NJ034513Medicare PIN
NYH08614Medicare UPIN