Individual provider Active NPI

Hamid Hussain, M.D.

  • Allergy & Immunology Physician
  • Port Jefferson, NY
National Provider Identifier
1114986072
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
209477 Issued in NY
Practice address
620 Belle Terre Rd
Suite: 5
Port Jefferson, NY 11777-2500
Phone
(631) 476-9736
Fax
(631) 476-9738
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 209477 NY Primary

Addresses

Primary practice location

620 Belle Terre Rd
Suite: 5
Port Jefferson, NY 11777-2500

Mailing address

620 Belle Terre Rd
Suite: 5
Port Jefferson, NY 11777-2500
Phone (631) 476-9736

Other identifiers 18

IdentifierTypeStateIssuer
1000015694OtherNYAFFINITY
1194854OtherNYFIRST HEALTH
7803105012OtherNYCIGNA
113429351OtherNYLOACL 1199
95G28OtherNYEMPIRE - ALL PLANS
113429351OtherNYUNITED HEALTHCARE
33711POtherNYHIP
50363OtherNYMDNY
113429351OtherNYISLAND GROUP ADM.
2598986OtherNYGHI
01805283MedicaidNY
113429351OtherNYMAGNACARE
113429351OtherNYMULTIPLAN
040426000036OtherNYFIDELIS
113429351OtherNYHORIZON
2038205OtherNYAETNA HEALTHCARE
209477-A10OtherNYHEALTH FIRST
83502OtherNYVYTRA

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
I20120208000312 NY Practitioner - Allergy/Immunology 7719144492 Reassigns benefits to 1 organization
Practice locations: Port Jefferson, NY

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Physicians Group, PLLCGroup PAC ID 0042433146, 19 clinicians

Practice addresses (Care Compare)

2799 Route 112
Suite 11
Medford, NY 11763-2535
Phone (631) 732-5222

620 Belle Terre Rd
Port Jefferson, NY 11777-2500
Phone (631) 476-9736

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Port Jefferson Allergy & Asthma P.C Allergy & Immunology Current Accepting new patients

Organizations & group practices 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1114986072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BELLE TERRE RD",
            "address_2": "SUITE: 5",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772500",
            "telephone_number": "631-476-9736",
            "fax_number": "631-476-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BELLE TERRE RD",
            "address_2": "SUITE: 5",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772500",
            "telephone_number": "631-476-9736",
            "fax_number": "631-476-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "HAMID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "209477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000015694",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1194854",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7803105012",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOACL 1199",
            "identifier": "113429351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - ALL PLANS",
            "identifier": "95G28",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "113429351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "33711P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "50363",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ISLAND GROUP ADM.",
            "identifier": "113429351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2598986",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01805283",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "113429351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "113429351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426000036",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "113429351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "2038205",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "209477-A10",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "83502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.