Active NPI
Samima Sultana Habbsa, MD
- Endocrinology, Diabetes & Metabolism Physician
- Merrick, NY
National Provider Identifier
1174028484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 320259
- Practice address
- 2209 Merrick Rd
Merrick, NY 11566-4786 - Phone
- (516) 546-5000
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 320259 | NY | Primary |
Addresses
Primary practice location
2209 Merrick Rd
Merrick, NY 11566-4786
Mailing address
2209 Merrick Rd
Merrick, NY 11566-4786
Phone (516) 546-5000
Other practice location 1
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Other practice location 2
1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2209 Merrick Rd
Merrick, NY 11566-4786
Phone (516) 546-5000
Hospital & facility affiliations
- Mount Sinai South Nassau
- Mount Sinai Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320259 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595
2209 Merrick Rd
Merrick, NY 11566
Phone (516) 255-1600
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- Oceanside, NY
- NPI 1922079094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1174028484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 MERRICK RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664786",
"telephone_number": "516-546-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 MERRICK RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664786",
"telephone_number": "516-546-5000"
}
],
"practiceLocations": [
{
"address_1": "300 Community Dr",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303816",
"country_code": "US",
"telephone_number": "516-562-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "NY",
"postal_code": "115721551",
"country_code": "US",
"telephone_number": "516-632-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABBSA",
"first_name": "SAMIMA",
"middle_name": "SULTANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "320259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.