Individual provider Active NPI

Syed Ajmal Husain, MD

  • Internal Medicine Physician
  • Middle Village, NY
National Provider Identifier
1346228319
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207808 Issued in NY
Practice address
7812 Metropolitan Ave
Middle Village, NY 11379-2900
Phone
(718) 326-2522
Fax
(718) 894-8274
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207808 NY Primary

Addresses

Primary practice location

7812 Metropolitan Ave
Middle Village, NY 11379-2900

Mailing address

7812 Metropolitan Ave
Middle Village, NY 11379-2900
Phone (718) 326-2522

Other identifiers 2

IdentifierTypeStateIssuer
01686064MedicaidNY
207808OtherNYLICENSE #

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
I20040707000992 NY Practitioner - Internal Medicine 8224015201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope Medical Services PCGroup PAC ID 9931385424, 4 clinicians

Practice addresses (Care Compare)

6709 164TH St
Fresh Meadows, NY 11365-3162
Phone (718) 326-2522

7812 Metropolitan Ave
Middle Village, NY 11379-2965
Phone (718) 326-2522

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Medical Services PC Internal Medicine CurrentSince Jan 15, 2008 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Edward Pineles, M.D., P.C. Past Accepting new patients
Wyckoff Medical Services, P C Internal Medicine Past Accepting new patients

Locations

1485 Dumont Ave
Brooklyn, NY 11208
Phone (718) 521-4442

6709 164th St
Fresh Meadows, NY 11365
Phone (718) 268-2036

Networks

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

Interoperability endpoints

  • Direct secure messaging: syedhusain@whmc.allscriptsdirect.net

Organizations & group practices 4

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1346228319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792900",
            "telephone_number": "718-326-2522",
            "fax_number": "718-894-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7812 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792900",
            "telephone_number": "718-326-2522",
            "fax_number": "718-894-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "SYED",
        "middle_name": "AJMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01686064",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "207808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.