Muzammil Haque

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11230497 Issued in NY

Practice address

3712 108TH St
Corona, NY 11368-2025

Phone

(646) 379-2005

NPI assigned

Dec 13, 2023

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josef Schenker MD PCGroup PAC ID 8022335330, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Josef Schenker MD PC

  dba Centers Urgent Care

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1275936932
  Medicare reassignment Care Compare group NPD
• 37 Main Street Medical Care PC

  dba MainStreet Med

  • Internal Medicine Physician
  • Merrick, NY
  • NPI 1366208639

  Family

  Medicare reassignment NPD
• Urban Health Plan, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1265596548
  Medicare reassignment NPD
• Urban Health Plan, Inc.

  dba Park Tree Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1386247542
  NPD
• Urban Health Plan, Inc.

  dba Plaza del Sol Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Corona, NY
  • NPI 1710125141
  NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1174391874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682025",
            "telephone_number": "646-379-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682025",
            "telephone_number": "646-379-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "MUZAMMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F11230497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis U Hammer, P.A.
• Happy Dragon of New York Inc.
• Happy Dragon of USA
• Happy Dragon of USA Inc (Happy Dragon Children Learning Center)
• Happy Dragon of USA Inc. (Happy Dragon Children Learning Center)
• Shahinul Haque, PHARM.D
• Har Har Pharmacy Corp (Big Apple Pharmacy)
• Dominic Kanhai Hardatt, DMSC, PA-C
• Michael Eli Harris, M.D. , MPH
• Amanda Ragab Hassan

• Family Nurse Practitioner in Corona, NY
• Providers in Corona, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.

Verify at the official NPI Registry.