Active NPI
Fazlul Hamid Yusuf, M.D.
- Pediatric Adolescent Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 191806
- Practice address
- 5707 146TH St
Flushing, NY 11355-5322 - Phone
- (718) 461-8625
- Fax
- (718) 461-8628
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 191806 | NY | Primary |
Addresses
Primary practice location
5707 146TH St
Flushing, NY 11355-5322
Mailing address
5707 146TH St
Flushing, NY 11355-5322
Phone (718) 461-8625
Other practice location 1
6413 Broadway
Woodside, NY 11377-2336
Phone (718) 461-8625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014978896 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191806 | NY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flushing Hospital & Medical Center | Current | Accepting new patients | |
| TJH Medical Services, P.C. | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Flushing Hospital Medical Center | Current | Accepting new patients | |
| Jamaica Hospital Medical Center | Past | Accepting new patients | |
| Flushing Emergency Practice Plan | Past | Accepting new patients |
Locations
4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631
14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562
18803 Jamaica Ave
Jamaica, NY 11423
Phone (718) 740-2060
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- fyusuf6728@direct.medisys.org
- https://fhir4.healow.com/fhir/r4/GEEABA/Endpoint/GEEABA
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1568693174
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Emergency Medicine Physician
- Flushing, NY
- NPI 1881622777
-
- Ambulatory Family Planning Facility
- Richmond Hill, NY
- NPI 1134376254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1295802965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 146TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555322",
"telephone_number": "718-461-8625",
"fax_number": "718-461-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 146TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555322",
"telephone_number": "718-461-8625",
"fax_number": "718-461-8628"
}
],
"practiceLocations": [
{
"address_1": "6413 Broadway",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113772336",
"country_code": "US",
"telephone_number": "718-461-8625",
"fax_number": "718-461-8628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUSUF",
"first_name": "FAZLUL",
"middle_name": "HAMID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "191806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014978896",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.