Organization Active NPI

Mason Medical Practice PLLC

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1306639018
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MASON MEDICAL PRACTICE PLLC
Practice address
265 Mason Ave
Staten Island, NY 10305-3412
Phone
(718) 887-2280
Fax
(718) 887-2277
NPI assigned
May 26, 2025
Last updated
May 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MASON MEDICAL PRACTICE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Authorized official

Name
Wissam Hoyek, MDNPI 1629186721
Title
Owner
Phone
(917) 922-1744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Cardiovascular Disease Physician 207RC0000X

Addresses

Primary practice location

265 Mason Ave
Staten Island, NY 10305-3412

Mailing address

948 Todt Hill Rd
Staten Island, NY 10304-1318
Phone (718) 887-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911004502 NY Part B Supplier - Clinic/Group Practice 6709389042 Receives reassigned benefits from 2 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Part of
Mason Medical Practice PLLC

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1306639018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 TODT HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041318",
            "telephone_number": "718-887-2280",
            "fax_number": "718-887-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053412",
            "telephone_number": "718-887-2280",
            "fax_number": "718-887-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON MEDICAL PRACTICE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASON MEDICAL PRACTICE PLLC",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "HOYEK",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-922-1744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.