Individual provider Active NPI

Azmatullah Syed Hussaini, M.D.

  • Internal Medicine Physician
  • Farmingdale, NY
National Provider Identifier
1366725335
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
287210 Issued in NY
Practice address
185 Merritts Rd
Farmingdale, NY 11735-3254
Phone
(516) 595-9264
NPI assigned
Sep 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301099713 MI
Internal Medicine Physician 207R00000X 25MA09776400 NJ
Hospitalist Physician 208M00000X 25MA09776400 NJ
Internal Medicine Physician 207R00000X 287210 NY Primary

Addresses

Primary practice location

185 Merritts Rd
Farmingdale, NY 11735-3254

Mailing address

6127 N Washtenaw Ave
Chicago, IL 60659-4849
Phone (773) 987-1424

Other practice location 1

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 296-5424

Other practice location 2

100 Bowman Dr Fl 1
Voorhees, NJ 08043-9612
Phone (856) 247-2594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160301000659 NJ Practitioner - Internal Medicine 4587972906 Reassigns benefits to 2 organizations
I20180222001497 NY Practitioner - Internal Medicine 4587972906 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099713MIMDInternal Medicine Physician
25MA09776400NJMDInternal Medicine Physician
287210NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Feb 14, 2018 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
IV League Medical PLLC Internal Medicine Current Accepting new patients
Advocare, LLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 1, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 1, 2016 Accepting new patients
My Medical PC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160

100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

185 Merritts Rd
Farmingdale, NY 11735
Phone (516) 249-1345

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

300 Community Dr
Plandome, NY 11030

211 Lake Shore Rd
Ronkonkoma, NY 11779
Phone (516) 581-1476

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

Interoperability endpoints

  • Direct secure messaging: ahussaini18425@directvirtua.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1366725335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 N WASHTENAW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594849",
            "telephone_number": "773-987-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MERRITTS RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353254",
            "telephone_number": "516-595-9264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575147",
            "country_code": "US",
            "telephone_number": "773-296-5424",
            "fax_number": "773-296-5265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-2594",
            "fax_number": "856-247-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "AZMATULLAH",
        "middle_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301099713",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09776400",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA09776400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "287210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.