Individual provider Active NPI

Nadia Hussain, MS, RD, CPT

  • Registered Dietitian
  • Valley Stream, NY
National Provider Identifier
1114378718
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1103901 Issued in NY
Practice address
107 S Waldinger St
Valley Stream, NY 11580-5217
Phone
(646) 361-8741
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1103901 NY Primary

Addresses

Primary practice location

107 S Waldinger St
Valley Stream, NY 11580-5217

Mailing address

60 Waipaa LN # 39-202
Wailuku, HI 96793-2099
Phone (808) 495-3096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210430002057 HI Practitioner - Registered Dietitian Or Nutrition Professional 6204245327 Reassigns benefits to 1 organization
I20221026001145 NY Practitioner - Registered Dietitian Or Nutrition Professional 6204245327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic of Maui IncGroup PAC ID 2466365440, 20 clinicians

Practice addresses (Care Compare)

1881 Nani St
Wailuku, HI 96793-1811
Phone (808) 871-7772

670 Waiale Rd
Apt a
Wailuku, HI 96793-2376
Phone (808) 872-4099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
010924NYMDMental Health Counselor
1103901NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
SDC Nutrition, PC Dietitian, Registered CurrentSince Sep 1, 2022 Accepting new patients
Community Clinic of Maui, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Community Clinic of Maui, Inc. Current Accepting new patients
Community Clinic of Maui Inc CurrentSince Apr 1, 2021 Accepting new patients
Community Clinic of Maui, Inc. PastSince Apr 14, 2024 Accepting new patients

Locations

10 Hoohui Rd
Ste 305
Lahaina, HI 96761
Phone (808) 871-7772

1881 Nani St
Wailuku, HI 96793
Phone (808) 871-7772

405 Rxr Plz
Uniondale, NY 11556
Phone (516) 478-9200

Organizations & group practices 5

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1114378718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WAIPAA LN # 39-202",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932099",
            "telephone_number": "808-495-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S WALDINGER ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805217",
            "telephone_number": "646-361-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "NADIA",
        "credential": "MS, RD, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1103901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.