Individual provider Active NPI

Main Uddin, FNP

  • Family Nurse Practitioner
  • Rochdale, NY
National Provider Identifier
1386999035
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337470 Issued in NY
Practice address
169-59 137TH Ave
Rochdale, NY 11434-4517
Phone
(718) 525-5600
Fax
(718) 559-5285
NPI assigned
Jul 18, 2012
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337470 NY Primary

Addresses

Primary practice location

169-59 137TH Ave
Rochdale, NY 11434-4517

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888

Other practice location 1

1166 Thieriot Ave Apt 1
Bronx, NY 10472-4732
Phone (917) 340-2066

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
I20161028000306 NY Practitioner - Nurse Practitioner 1254619190 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Optum Urgent Care PLLCGroup PAC ID 8628299518, 68 clinicians
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

1049 Morris Park Ave
Bronx, NY 10461-1410
Phone (929) 777-9082

148 Sunrise Hwy
West Islip, NY 11795-2012
Phone (631) 620-3580

16450 Crossbay Blvd
Howard Beach, NY 11414-3749
Phone (718) 848-8412

16927 137TH Ave
Jamaica, NY 11434-4517
Phone (718) 525-5600

339 Main St
Huntington, NY 11743-6958
Phone (631) 470-9000

555 N Broadway
Jericho, NY 11753-2134
Phone (516) 597-5070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
337470NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 13, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Jun 10, 2019 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Sep 13, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Jun 10, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 1, 2018 Accepting new patients
Siuc Medical PC CurrentSince Feb 1, 2024 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Jun 17, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 1, 2018 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jun 1, 2018 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 13, 2023 Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

326 E 149th St
Bronx, NY 10451
Phone (718) 402-6380

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

55 Water St
Fl 2
New York, NY 10041

16959 137th Ave
Rochdale Village, NY 11434
Phone (718) 525-5666

16927 137th Ave
Rochdale Vlg, NY 11434
Phone (718) 977-0300

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: muddin33584@direct.acpny.com
  • Direct secure messaging: muddin58577@direct.optum.com

Organizations & group practices 10

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1386999035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169-59 137TH AVE",
            "city": "ROCHDALE",
            "state": "NY",
            "postal_code": "114344517",
            "telephone_number": "718-525-5600",
            "fax_number": "718-559-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1166 Thieriot Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104724732",
            "country_code": "US",
            "telephone_number": "917-340-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MAIN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochdale, NY

Sources for this page

Verify at the official NPI Registry.