Individual provider Active NPI

Mohd A Hossain, M.D

  • Internal Medicine Physician
  • Hollis, NY
National Provider Identifier
1083931919
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
19602 Hillside Ave
Hollis, NY 11423-2125
Phone
(347) 390-0612
Fax
(718) 480-6652
NPI assigned
May 3, 2010
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NY Primary

Addresses

Primary practice location

19602 Hillside Ave
Hollis, NY 11423-2125

Mailing address

14 Capri Dr
Roslyn, NY 11576-3205
Phone (917) 399-2374

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
I20120213000074 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2365567930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8538 168TH PL
Jamaica, NY 11432-2638
Phone (718) 713-7812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Imran Medical Care Internal Medicine Current Accepting new patients
Ritecare Medical Office P.C CurrentSince Apr 1, 2015 Accepting new patients
Hollis Primary Care P.C. Internal Medicine Current Accepting new patients
Hillside Primary Care PLLC PastSince Nov 5, 2016 Accepting new patients

Locations

275 W Merrick Rd
Freeport, NY 11520
Phone (516) 377-2946

378 Syosset Woodbury Rd
Woodbury, NY 11797
Phone (516) 622-7784

121 Franklin Pl
Woodmere, NY 11598
Phone (516) 374-9300

Networks

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

Interoperability endpoints

  • Direct secure messaging: mhossain@3124.mdlanddirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1083931919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAPRI DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763205",
            "telephone_number": "917-399-2374",
            "fax_number": "718-480-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19602 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232125",
            "telephone_number": "347-390-0612",
            "fax_number": "718-480-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "MOHD",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

Verify at the official NPI Registry.