Provider Demographics
NPI:1265518484
Name:HITO, HASSAN (MD)
Entity type:Individual
Prefix:
First Name:HASSAN
Middle Name:
Last Name:HITO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MONTAUK HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795
Mailing Address - Country:US
Mailing Address - Phone:631-587-1300
Mailing Address - Fax:631-587-1323
Practice Address - Street 1:1111 MONTAUK HIGHWAY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795
Practice Address - Country:US
Practice Address - Phone:631-587-1300
Practice Address - Fax:631-587-1323
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135520207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH377POtherHIP
NY00460953Medicaid
040426010408OtherFIDELIS CARE
135520A30OtherHEALTHFIRST
1000016243OtherAFFINITY
1338694OtherCIGNA
135520POtherHEALTHCARE PARTNERS
27A591OtherBC
0010678OtherGHI
CP594OtherOXFORD
10377OtherVYTRA
AG00608OtherMDNY
97055OtherAETNA
040426010408OtherFIDELIS CARE
B11972Medicare UPIN