Front Street Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FRONT STREET MEDICAL, P.C.

Practice address

475 Front St
Hempstead, NY 11550-4229

Phone

(516) 505-9505

Fax

(516) 505-5202

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ehab Hassanain, M.D.NPI 1700174729

Title

M.D./Owner

Phone

(516) 505-9505

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 8

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

• Ehab Ahmed Hassanain, M.D.

  • General Practice Physician
  • West Babylon, NY
  • NPI 1700174729
  Medicare reassignment Care Compare group Authorized official
• Khurshid Ibrahimi

  • Physical Therapist
  • Bethpage, NY
  • NPI 1912494279
  Medicare reassignment Care Compare group NPD
• Andrew Demarco, DC

  • Chiropractor
  • Hempstead, NY
  • NPI 1144383845
  Medicare reassignment Care Compare group
• Hossam Adham, MD

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
  • NPI 1164714010
  Medicare reassignment NPD
• Dianne Grace Alcala, NP

  • Nurse Practitioner
  • Amityville, NY
  • NPI 1326610387
  Medicare reassignment NPD
• Ahmed Elfiky, M.D.

  • Neurology Physician
  • Patchogue, NY
  • NPI 1568551075
  Medicare reassignment NPD
• Azriel Benaroya, M.D.

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
  • NPI 1962445122
  Medicare reassignment
• Anajaira Alcantara, FNP

  • Family Nurse Practitioner
  • Lindenhurst, NY
  • NPI 1881558849
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1407212962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FRONT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504229",
            "telephone_number": "516-505-9505",
            "fax_number": "516-505-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FRONT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504229",
            "telephone_number": "516-505-9505",
            "fax_number": "516-505-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT STREET MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "HASSANAIN",
        "authorized_official_first_name": "EHAB",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "516-505-9505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "A400052656",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03589131",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "X72371",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03010506",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Isabel Fuentes-Portillo
• Fulton Avenue Chiropractic and Physical Therapy, PLLC
• Fulton Podiatry Obs. PC
• Elizabeth C Fungkhee, CASAC
• Kilon Lavern Furline, RN

• Internal Medicine Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.