Individual provider Active NPI

Hazera Hussain, PA-C

  • Surgical Physician Assistant
  • Elmhurst, NY
National Provider Identifier
1316553803
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
025775 Issued in NY
Practice address
7901 Broadway # D6-10
Elmhurst, NY 11373-1329
Phone
(718) 334-2611
Fax
(718) 334-1199
NPI assigned
Sep 20, 2020
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 025775 NY Primary

Addresses

Primary practice location

7901 Broadway # D6-10
Elmhurst, NY 11373-1329

Mailing address

7901 Broadway # D6-10
Elmhurst, NY 11373-1329
Phone (718) 334-2611

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu
Direct Messaging Address hhussain3@mercy.edu

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319001307 NY Practitioner - Physician Assistant 1850708744 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Dec 16, 2020 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Feb 1, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Feb 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Dec 16, 2020 Accepting new patients
Montefiore Medical Center Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: hhussain966491@nychhc.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1316553803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY # D6-10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2611",
            "fax_number": "718-334-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY # D6-10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2611",
            "fax_number": "718-334-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "HAZERA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2024-01-31",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "025775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhussain3@mercy.edu",
            "affiliation": "N",
            "address_1": "3190 Hull Ave Apt 41",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104674335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.