Organization Active NPI

Bassam Hossain DO PLLC

  • Clinic/Center
  • Stony Brook, NY
National Provider Identifier
1033985890
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BASSAM HOSSAIN DO PLLC
Practice address
8 Mosshill PL
Stony Brook, NY 11790-2919
Phone
(516) 838-9955
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bassam Syed HossainNPI 1164876389
Title
Owner
Phone
(516) 838-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8 Mosshill PL
Stony Brook, NY 11790-2919

Mailing address

8 Mosshill PL
Stony Brook, NY 11790-2919
Phone (516) 838-9955

Other practice location 1

3115 Horseblock Rd
Medford, NY 11763-2526
Phone (516) 838-9955

Other practice location 2

185 Old Military Rd
Lake Placid, NY 12946-1939
Phone (516) 838-9955

Other practice location 3

81 Park Street
Elizabethtown, NY 12932
Phone (516) 838-9955

Other practice location 4

9 Hilaire Dr
Huntington, NY 11743-3768
Phone (516) 838-9955

Other practice location 5

801 Gazzola Dr
East Patchogue, NY 11772-4900
Phone (516) 838-9955

Other practice location 6

60 Merrick Ave
East Meadow, NY 11554-1578
Phone (516) 838-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240430000989 NY Part B Supplier - Clinic/Group Practice 1951741529 Receives reassigned benefits from 1 practitioner
Practice locations: Stony Brook, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1033985890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MOSSHILL PL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902919",
            "telephone_number": "516-838-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MOSSHILL PL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902919",
            "telephone_number": "516-838-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Horseblock Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117632526",
            "country_code": "US",
            "telephone_number": "516-838-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Old Military Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Placid",
            "state": "NY",
            "postal_code": "129461939",
            "country_code": "US",
            "telephone_number": "516-838-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Park Street",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NY",
            "postal_code": "12932",
            "country_code": "US",
            "telephone_number": "516-838-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Hilaire Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117433768",
            "country_code": "US",
            "telephone_number": "516-838-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Gazzola Dr",
            "address_purpose": "LOCATION",
            "city": "East Patchogue",
            "state": "NY",
            "postal_code": "117724900",
            "country_code": "US",
            "telephone_number": "516-838-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541578",
            "country_code": "US",
            "telephone_number": "516-838-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BASSAM HOSSAIN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-838-9955"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.