Organization Active NPI

ZWH Medical Care PC

  • Internal Medicine Physician
  • Woodside, NY
National Provider Identifier
1386934172
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246532 Issued in NY
Legal business name
ZWH MEDICAL CARE PC
Practice address
6417 Broadway
Woodside, NY 11377-2336
Phone
(718) 424-0309
Fax
(718) 424-0263
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Zakia Hossain, M.D.NPI 1780694927
Title
Owner
Phone
(718) 915-1585

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 246532 NY Primary

Addresses

Primary practice location

6417 Broadway
Woodside, NY 11377-2336

Mailing address

6417 Broadway
Woodside, NY 11377-2336
Phone (718) 424-0309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000089 NY Part B Supplier - Clinic/Group Practice 9537345640 Receives reassigned benefits from 1 practitioner
Practice locations: Woodside, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1386934172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 BROADWAY",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772336",
            "telephone_number": "718-424-0309",
            "fax_number": "718-424-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 BROADWAY",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772336",
            "telephone_number": "718-424-0309",
            "fax_number": "718-424-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZWH MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "ZAKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-915-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.