Individual provider Active NPI

Fazlul Hamid Yusuf, M.D.

  • Pediatric Adolescent Medicine Physician
  • Flushing, NY
National Provider Identifier
1295802965
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
191806 Issued in NY
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

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
014978896MedicaidNY

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
I20110610000045 NY Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 2961689476 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191806NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince May 8, 2011 Accepting new patients
TJH Medical Services, P.C. CurrentSince May 8, 2011 Accepting new patients
Jamaica Hospital CurrentSince Mar 1, 2020 Accepting new patients
Jamaica Hospital CurrentSince Mar 1, 2020 Accepting new patients
Flushing Hospital Medical Center CurrentSince May 8, 2011 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

  • Direct secure messaging: fyusuf6728@direct.medisys.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.