Individual provider Active NPI

Maged Z Youssef-Ahmed, M.D

  • Pediatric Adolescent Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1053474866
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
199752-1 Issued in NY
Practice address
103-11 68TH Drive
Forest Hills, NY 11375
Phone
(347) 642-5315
Fax
(347) 642-5315
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19975-1 NY
Pediatric Adolescent Medicine Physician 2080A0000X 199752-1 NY Primary

Addresses

Primary practice location

103-11 68TH Drive
Forest Hills, NY 11375

Mailing address

9921 67TH Rd Apt 1G
Forest Hills, NY 11375-3013
Phone (516) 941-8471

Other identifiers 1

IdentifierTypeStateIssuer
01625007MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215002536 NY Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Internal Medicine 0143539965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10311 68TH Dr
Forest Hills, NY 11375-3159
Phone (347) 642-5315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19975-1NYMDPediatrics Physician
199752-1NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Doctor Youssef Medical PLLC Adolescent Medicine CurrentSince May 24, 2015 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 1, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

10311 68th Dr
Forest Hills, NY 11375
Phone (347) 642-5315

9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: myoussefahmed388316@northwell.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1053474866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 67TH RD APT 1G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753013",
            "telephone_number": "516-941-8471",
            "fax_number": "347-642-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103-11 68TH DRIVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "347-642-5315",
            "fax_number": "347-642-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF-AHMED",
        "first_name": "MAGED",
        "middle_name": "Z",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "19975-1",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "199752-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01625007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.