Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hazim Moustafa

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1700414612

Hazim Moustafa is a Sports Medicine in Commack, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2019, 7 years ago. Practices with Chs Physician Partners PC, a 747-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2020

Practice location Address checks out

500 Commack Rd
Commack, NY 11725-5020
Phone: (631) 828-7220
Fax: (631) 828-7899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Route 112, Port Jefferson Station, NY 11776-8054 — (631) 828-7220

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 331573 (NY)

Record details

NPI number1700414612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address1500 Route 112, Port Jefferson Station, NY 11776-8054

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2019 (7 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare