Individual provider Active NPI

Hammad Mohsin, M.D.

  • Psychiatry Physician
  • Jamaica, NY
National Provider Identifier
1205167624
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
999999999 Issued in NY
Practice address
13848 Hoover Ave
Jamaica, NY 11435-1132
Phone
(646) 239-8227
NPI assigned
Jan 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 999999999 NY Primary

Addresses

Primary practice location

13848 Hoover Ave
Jamaica, NY 11435-1132

Mailing address

13848 Hoover Ave
Jamaica, NY 11435-1132
Phone (646) 239-8227

Other practice location 1

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone (616) 336-3909

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.network180.x@direct.mihin.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150727002322 NY Practitioner - Psychiatry 5092029629 Reassigns benefits to 6 organizations
I20240808002956 MI Practitioner - Psychiatry 5092029629 Reassigns benefits to 2 organizations
I20250612004136 TX Practitioner - Psychiatry 5092029629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John T Mather Memorial HospitalGroup PAC ID 1254237753, 176 clinicians

Practice addresses (Care Compare)

10310 W Grand Pkwy S
Suite 103
Richmond, TX 77406-5923
Phone (516) 400-3926

627 Broadway
Massapequa, NY 11758-5031
Phone (516) 400-3926

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 473-1320

7840 Bush Dr NE
Rockford, MI 49341-8341
Phone (516) 400-3926

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
999999999NYMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2017 Accepting new patients
Kent County CMH Authority CurrentSince Jun 11, 2024 Accepting new patients
New York University CurrentSince Sep 1, 2017 Accepting new patients
Hammad Mohsin Psychiatry PC Psychiatry CurrentSince May 1, 2025 Accepting new patients
John T. Mather Memorial Hospital Psychiatry Current Accepting new patients
John T. Mather Memorial Hospital CurrentSince Sep 23, 2018 Accepting new patients
Kent County CMH Authority CurrentSince Jun 11, 2024 Accepting new patients
Aldad Medical PC Psychiatry CurrentSince Nov 1, 2021 Accepting new patients

Locations

790 Fuller Ave NE
Grand Rapids, MI 49503
Phone (616) 336-3765

260 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 459-1267

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

627 Broadway
Ste 200
Massapequa, NY 11758
Phone (516) 221-4354

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

125 Oakland Ave
Ste 303
Port Jefferson, NY 11777
Phone (631) 729-2140

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

10310 W Grand Pkwy S
Ste 103
Richmond, TX 77406
Phone (516) 400-3926

Networks

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

Interoperability endpoints

  • Direct secure messaging: hmohsin222971@nyumc.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1205167624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13848 HOOVER AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351132",
            "telephone_number": "646-239-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13848 HOOVER AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351132",
            "telephone_number": "646-239-8227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Fuller Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031918",
            "country_code": "US",
            "telephone_number": "616-336-3909",
            "fax_number": "616-336-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHSIN",
        "first_name": "HAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "999999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.network180.x@direct.mihin.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "790 Fuller Ave NE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495031918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.